Individual
MR. PAUL HENRY ALTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6016 OLINGER CIR, EDINA, MN 55436-1944
(612) 822-0756
(952) 922-5010
Mailing address
6016 OLINGER CIR, EDINA, MN 55436-1944
(612) 822-0756
(952) 922-5010
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
NA
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109769
HEALTH PARTNERS
MN
01
—
125663
UCARE
MN
01
—
4990020
MEDICA
MN
Enumeration date
08/13/2009
Last updated
08/13/2009
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