Individual
PAUL WRATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2450 RIVERSIDE AVE, PEDIATRIC EDUCATION OFFICE M136 8950A, MINNEAPOLIS, MN 55454-1450
(612) 624-4477
Mailing address
2450 RIVERSIDE AVE, PEDIATRIC EDUCATION OFFICE M136 8950A, MINNEAPOLIS, MN 55454-1450
(612) 624-4477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57942
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/10/2011
Last updated
09/07/2017
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