Individual
OLUWASEGUN PAUL DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
5775 WAYZATA BLVD FL 2, ST LOUIS PARK, MN 55416-1222
(952) 525-4500
Mailing address
9084 FARMSTEAD AVE, MONTICELLO, MN 55362-8461
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10648
MN
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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