Individual
MR. DAVID BRIAN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15620 EDGEWOOD DR, STE 200, BRAINERD, MN 56401-6983
(218) 330-6999
(218) 825-8027
Mailing address
15620 EDGEWOOD DR, STE 200, BRAINERD, MN 56401-6983
(218) 330-6999
(218) 825-8027
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
905867200
—
MN
Enumeration date
10/12/2005
Last updated
09/04/2013
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