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Individual

PAUL E. VANGORP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 9TH ST SE, CENTRACARE HEALTH SYSTEM LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2131
(320) 732-6913
Mailing address
20 9TH ST SE, CENTRACARE HEALTH SYSTEM LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2131
(320) 732-6913

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21819
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106463
MEDICA HEALTH PLANS
01
1006861
PREFERRED ONE
01
116872
U-CARE
01
499762000
MEDICAL ASSISTANCE
01
54Q37VA
BLUE CROSS BLUE SHIELD
01
784038
FIRST HEALTH PLAN
01
806968
ARAZ GROUP/AMERICAS PPO
01
COMP
MMSI
01
HP23039
HEALTH PARTNERS
Enumeration date
11/04/2005
Last updated
01/31/2013
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