Paul Pedersen
NPI #1053403675 in Bloomington, Illinois
Provider Information
- NPI Number
- 1053403675
- Entity Type
- Individual
- Name
- Paul Pedersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Oct 5, 2020
Practice Location
- Address
- 1701 E COLLEGE AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-2101
- Phone
- (309) 664-3120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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