Provider Demographics
NPI:1811104854
Name:FINN, PAUL (RPH)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:FINN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22572 370TH ST
Mailing Address - Street 2:
Mailing Address - City:GILMAN
Mailing Address - State:WI
Mailing Address - Zip Code:54433-9589
Mailing Address - Country:US
Mailing Address - Phone:715-447-5565
Mailing Address - Fax:
Practice Address - Street 1:1221 WHIPPLE ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-5270
Practice Address - Country:US
Practice Address - Phone:715-838-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9168-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist