Individual
PAUL W SPERDUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 S MAPLE ST, # 117, WACONIA, MN 55387-1760
(952) 442-6000
(952) 442-6004
Mailing address
6950 FRANCE AVE S, # 200, EDINA, MN 55435-2008
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34957
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100685
UCARE
MN
01
—
104527
PT CHOICE
MN
01
—
24-00004
MEDICA PRIMARY
MN
01
—
24-28410
MEDICA
MN
01
—
25142
AMERICA'S PPO
MN
01
—
2M662SP
BLUE CROOS/BLUE SHIELD
MN
05
—
32721200
—
WI
01
—
963071000190
PREFERRED ONE
MN
01
—
HP14452
HEALTH PARTNERS
MN
Enumeration date
09/02/2005
Last updated
07/08/2007
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