Individual
MARK R PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30504
MN
Other
Enumeration date
07/06/2006
Last updated
11/24/2023
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