Individual
PAUL THOMAS TEMBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Mailing address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
6406241
MEDICA
MN
01
—
6B504TE
BLUE CROSS BLUE SHIELD
MN
05
—
744023500
—
MN
01
—
HP43507
HEALTHPARTNERS
MN
Enumeration date
11/24/2006
Last updated
08/19/2013
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