Minnesota Doc
NPI #1932597002 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1932597002
- Entity Type
- Organization
- Organization Name
- Minnesota Doc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 24, 2014
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 1450 ENERGY PARK DR
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55108-5274
- Phone
- (651) 361-7200
Authorized Official
- Name
- DR. DAVID A PAULSON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (612) 390-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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