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Organization
MINNESOTA ORTHOPEDICS PA
Active
Organization
MINNESOTA ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALLEN CEDERBERG MD (PRESIDENT)
(952) 952-2388
Entity
Organization
Contact information
Practice address
6490 EXCELSIOR BLVD, STE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 925-0743
Mailing address
6490 EXCELSIOR BLVD, STE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 925-0743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0R0607
PREFERRED ONE CORPORATE
—
01
—
3D553MI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/10/2006
Last updated
08/22/2020
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