Individual
PATRICK PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-9545
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51425
MN
208000000X
Pediatrics Physician
51425
MN
Other
Enumeration date
11/30/2007
Last updated
02/13/2013
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