Individual
DR. PAUL B. BANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 SUNRISE DR, SUITE 300, SAINT PETER, MN 56082-5376
(507) 389-8538
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
50184-21
WI
207N00000X
Dermatology Physician
Primary
60390
MN
207R00000X
Internal Medicine Physician
50184-21
WI
Other
Enumeration date
01/12/2007
Last updated
07/22/2020
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