Individual
NIKOLAS KOLJA PAECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE, REGIONS HOSPITAL, SAINT PAUL, MN 55101-2502
(612) 501-9048
Mailing address
640 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE, REGIONS HOSPITAL, SAINT PAUL, MN 55101-2502
(612) 501-9048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21201
MN
207P00000X
Emergency Medicine Physician
Primary
A116557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21201
RESIDENCY PERMIT NUMBER
MN
01
—
A116557
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
07/03/2008
Last updated
08/26/2024
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