Individual
PAUL M PERPICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5461 CITY HALL, NISSWA, MN 56468
(218) 963-4448
(218) 546-5809
Mailing address
PO BOX 8, NISSWA, MN 56468-0008
(218) 963-4448
(218) 546-5809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845660PE
NIS BCBS
MN
01
—
9410
STATE LICENSE
MN
01
—
IRO83A16PE
IRO BCBS
MN
Enumeration date
04/24/2007
Last updated
03/07/2023
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