Individual
WADE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-3342
Mailing address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 357-1391
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66799
MN
Other
Enumeration date
04/01/2015
Last updated
06/04/2020
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