Individual
PAUL HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 CHICAGO AVE STE 250, MINNEAPOLIS, MN 55407-1355
(612) 863-4000
Mailing address
1414 LAUREL AVE APT L406, MINNEAPOLIS, MN 55403-1265
(715) 209-4827
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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