Individual
PAUL S. GOTLIEB
Active
Individual
PAUL S. GOTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425224
MEDICA HEALTH PLAN
MN
05
—
164202200
—
MN
01
—
1M593GO
BCBS OF MINNESOTA
MN
Enumeration date
06/21/2005
Last updated
03/29/2012
Update your record
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