Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL STEPHEN PIENKOS, M.D.
ActiveCardiovascular Disease · GRAFTON, WI
Registration Details
- NPI Number
- 1508904186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2007 (19.211960859534 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
45931-020 (WI)45931-20 (WI)
Practice Information
- Address
-
975 PORT WASHINGTON RDGRAFTON, WI, 530249201Browse WI providers · Browse ZIP 53024
- Phone
- 2623291000
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.