Paul K Wallin in Maplewood - General Practice

Paul K Wallin - NPI 1477645703

Paul K Wallin is a General Practice in Maplewood, Minnesota. Paul K Wallin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul K Wallin is 1477645703. The last update date is 2007-07-08.

Paul K Wallin's current location address is 1270 Cope Ave E, Maplewood, Minnesota. You can contact this provider via phone number 6514828332 and fax number 6514827839. The mailing address for Paul K Wallin is 1270 Cope Ave E, Maplewood, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul K Wallin
Address 1270 Cope Ave E, Maplewood, Minnesota
Phone Number 6514828332
Fax Number 6514827839
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1477645703
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1270 Cope Ave E
City Maplewood
State Minnesota (MN)
Post Code 55109
Phone Number 6514828332
Fax Number 6514827839

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9636
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
56701WA MN BLUE CROSS BLUE SHIELD

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FAQs about Paul K Wallin

What is the Paul K Wallin's unique identification number?

The Paul K Wallin has been assigned the NPI (National Provider Identifier) Number 1477645703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Paul K Wallin's facilities are geographically located?

The facilities of Paul K Wallin are physically situated at the following location: 1270 Cope Ave E, Maplewood, MN, 55109.

What is Paul K Wallin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul K Wallin is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477645703 to Paul K Wallin?

The Centers for Medicare & Medicaid Services assigned the 1477645703 to Paul K Wallin on 2006-09-28.

When was the information regarding Paul K Wallin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Paul K Wallin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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