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Individual

PAUL L MAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FHM

Contact information

Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47533
MN
208M00000X
Hospitalist Physician
Primary
47533
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0407470
MEDICA HEALTH PLANS
01
1043620
PREFERRED ONE
01
106686200
MEDICAL ASSISTANCE
05
106686200
MN
01
132808
U-CARE
01
2335151
ARAZ GROUP/AMERICA'S PPO
01
286G5MA
BLUE CROSS BLUE SHIELD
01
HP50083
HEALTH PARTNERS
Enumeration date
10/14/2005
Last updated
10/30/2015
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