Individual provider · Type 1 NPI

Paul Mutch

Medical Physician Assistant · Madison, WI

NPI number 1639856156 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 915-0200 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 2893 Bulwer Ln, Fitchburg, WI 53711-9309 · (608) 513-7985

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X9006-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1639856156

Paul Mutch's National Provider Identifier is 1639856156, issued on Jun 28, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Aug 19, 2026.