Individual
DR. PAUL E TERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 387-2330
(218) 387-1278
Mailing address
513 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 387-2330
(218) 387-1278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4F029TE
BLUE CROSS
MN
05
—
873397000
—
MN
01
—
926741014028
PREFERRED
MN
Enumeration date
03/14/2006
Last updated
07/08/2020
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