Individual
WILLIAM D PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
420DELAWARE STREET SE, MMD 292, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22417
MN
2086S0129X
Vascular Surgery Physician
22417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082982
FAIRVIEW
MN
05
—
084587600
—
MN
01
—
1009266
PREFERRED ONE
MN
01
—
101592
UCARE
MN
01
—
17-00026
MEDICA PRIMARY
MN
01
—
2T102PA
BLUE CROSS BLUE SHIELD
MN
01
—
37-12454
MEDICA CHOICE
MN
01
—
604794
ARAZ
MN
01
—
HP22196
HEALTH PARTNERS
MN
Enumeration date
09/13/2006
Last updated
10/26/2012
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