Individual
PAUL HARVEY WAYTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435
(952) 893-1959
(952) 893-1954
Mailing address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435-5924
(952) 893-1959
(952) 893-1954
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
21823
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100473C477
UCARE
FM
01
—
24898
AMERICA'S PPO
MN
01
—
3201962
MEDICA
MN
01
—
411774839A006
CHAMPUS
MN
05
—
579000000
—
MN
01
—
660003174
RR MEDICARE
FM
01
—
66Q43WA
BLUE CROSS BLUE SHIELD
MN
01
—
960080401003
PREFERRED ONE
MN
01
—
HP14653
HEALTHPARTNERS
MN
Enumeration date
06/09/2005
Last updated
07/12/2018
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