Individual
DR. MICHAEL THOMAS PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
640 JACKSON STREET, MS11102F, ST. PAUL, MN 55101-2502
(651) 254-3456
(651) 254-5216
Mailing address
PO BOX 1309 - 8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-3456
(651) 254-5216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036131957
IL
207P00000X
Emergency Medicine Physician
Primary
108311
MN
207P00000X
Emergency Medicine Physician
64249
WI
Other
Enumeration date
07/04/2010
Last updated
05/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us