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Individual

DR. PAUL R DIEKMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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