Individual
MR. PAUL ALLEN CEDERBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6490 EXCELSIOR BOULEVARD, SUITE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 925-0743
Mailing address
6490 EXCELSIOR BOULEVARD, SUITE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 924-0743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0925946
MEDICA
MN
01
—
3D613CE
BLUE CROSS BLUE SHIELD
MN
01
—
924850118001
PREFERRED ONE
—
Enumeration date
06/04/2006
Last updated
07/08/2007
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