Individual
DR. PAUL J AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(612) 467-2044
(612) 727-5642
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
36456
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
36456
MN
208VP0000X
Pain Medicine Physician
36456
MN
Other
Enumeration date
02/15/2006
Last updated
03/11/2021
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