Individual
DR. PAUL ANDREW TRAVNICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, EMERGENCY CENTER, 11102F, ROBBINSDALE, MN 55422-2926
(763) 520-2000
Mailing address
3300 OAKDALE AVE N, EMERGENCY DEPARTMENT, ROBBINSDALE, MN 55422-2926
(763) 520-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18850
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18850
RESIDENCY PERMIT
MN
Enumeration date
01/21/2008
Last updated
09/25/2012
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