Individual
PAULA M COTRUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6200
(651) 495-6201
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 495-6603
(651) 495-6201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47493
MN
2084N0400X
Neurology Physician
47904020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226100600
—
MN
Enumeration date
02/27/2006
Last updated
10/10/2019
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