Organization
PAUL LINDHOLM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A LINDHOLM M.D. (OWNER)
(218) 362-6784
Entity
Organization
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6784
(218) 362-6684
Mailing address
1200 E 25TH ST, HIBBING, MN 55746-3897
(218) 312-3002
(218) 312-3003
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151388
UCARE
MN
05
—
216217200
—
MN
01
—
467L9PA
BLUE CROSS BLUE SHIELD
MN
01
—
DG4464
RAILROAD MEDICARE
MN
Enumeration date
10/20/2006
Last updated
05/25/2011
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