Individual
PAUL OTTO JONAS PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20307 JUPITER WAY, LAKEVILLE, MN 55044-7829
(720) 343-0724
Mailing address
20307 JUPITER WAY, LAKEVILLE, MN 55044-7829
(720) 343-0724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2489614
MN
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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