Individual
PAUL C DEGLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6409 CITY WEST PKWY STE 105, EDEN PRAIRIE, MN 55344-7845
(952) 833-3038
Mailing address
6409 CITY WEST PKWY STE 105, EDEN PRAIRIE, MN 55344-7845
(952) 833-3038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381G9DE
BCBS
MN
Enumeration date
07/28/2006
Last updated
07/08/2007
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