Individual
DR. JAMES R PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 4TH AVE W, GRINNELL, IA 50112-1895
(641) 236-7524
(641) 236-7944
Mailing address
217 4TH AVE W, GRINNELL, IA 50112-1895
(641) 236-7524
(641) 236-7944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181198
—
IA
01
—
18118
MEDICARE GROUP NUMBER
IA
Enumeration date
02/21/2006
Last updated
10/11/2007
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