Individual
LOUISA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
(612) 721-6261
Mailing address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50098
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02087
GROUP
MN
01
—
C02098
GROUP
MN
Enumeration date
04/24/2007
Last updated
03/17/2018
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