Individual
JULIE A PAZDERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7800
(508) 661-3046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1025096
MA
207Q00000X
Family Medicine Physician
Primary
46487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120544
MEDICA #
MN
05
—
13069
—
MN
01
—
181766
UCARE #
MN
01
—
2141911
AMERICA'S PPO/ARAZ #
MN
01
—
25565
NDBS #
MN
01
—
41518
LHS/BANNERHEALTH #
MN
01
—
489R3PA
MNBS #
MN
05
—
906427300
—
MN
01
—
DA9031041396
PREFERRED ONE #
MN
01
—
HP42890
HEALTHPARTNERS #
MN
Enumeration date
06/08/2006
Last updated
05/04/2026
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