Individual
MR. PAUL SCOTT IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BPHARM
Contact information
Practice address
408 MINNESOTA AVE NW, BEMIDJI, MN 56601-3127
(218) 444-3000
(218) 444-6640
Mailing address
408 MINNESOTA AVE NW, BEMIDJI, MN 56601-3127
(218) 444-3000
(218) 444-6640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1137215
MN
Other
Enumeration date
11/18/2005
Last updated
01/16/2013
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