Individual
PAUL MENNO SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-137007
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
75190
MN
208100000X
Physical Medicine & Rehabilitation Physician
ME140297
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036-137007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036137007-1
—
IL
01
—
F400224733
MEDICARE
IL
01
—
P01538719
RAILROAD MEDICARE
IL
Enumeration date
03/26/2010
Last updated
10/31/2023
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