Individual
DR. PAUL TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 UNIVERSITY AVE W, STE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Mailing address
3727 FAIRWAY POINT, WOODBURY, MN 55125
(651) 702-5033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35810
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125T1RI
BCBS OF MN
MN
01
—
1555718
MEDICA
MN
05
—
631227600
—
MN
Enumeration date
01/06/2006
Last updated
11/24/2008
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