Individual
DR. JOHN ROBERT PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38883
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111714
UCARE
MN
01
—
1208118
MEDICA
MN
01
—
32Y76PA
BLUECROSS
MN
01
—
CP9041011314
PREFERRED ONE
MN
Enumeration date
02/01/2006
Last updated
07/09/2007
Update your record
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