Individual
DR. PAUL R DIEKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8290 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-1847
(763) 786-9543
(763) 786-3320
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30329
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73B81DI
BLUE CROSS BLUE SHIELD
—
01
—
901551
MEDICA
—
01
—
969990266006
PREFERREDONE
—
01
—
HP13162
HEALTHPARTNERS
—
Enumeration date
07/18/2006
Last updated
07/10/2007
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