Individual
DR. CASEY LEE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4345 NATHAN LN N, SUITE F, PLYMOUTH, MN 55442-4522
(763) 536-1112
(763) 536-0471
Mailing address
4345 NATHAN LN N, SUITE F, PLYMOUTH, MN 55442-4522
(763) 536-1112
(763) 536-0471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110105600
—
MN
01
—
P00428474
MEDICARE RAILROAD
MN
Enumeration date
06/13/2005
Last updated
09/24/2008
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