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Individual

PAUL B JAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 N 10TH STREET, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
PO BOX 2698, BISMARCK, ND 58502-2698
(218) 786-3230

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
42515
MN
2085R0202X
Diagnostic Radiology Physician
Primary
6777
ND
2085R0204X
Vascular & Interventional Radiology Physician
42515
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17774
ND
05
797325000
MN
Enumeration date
12/11/2006
Last updated
10/11/2012
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