Paul Lundstrom is a Dermatology in Baxter, Minnesota. Paul Lundstrom practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Paul Lundstrom is 1699759647. The last update date is 2011-02-24.
Paul Lundstrom's current location address is 13359 Isle Dr, Baxter, Minnesota. You can contact this provider via phone number 2184547546. The mailing address for Paul Lundstrom is 13359 Isle Dr, Baxter, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Lundstrom |
|---|---|
| Address | 13359 Isle Dr, Baxter, Minnesota |
| Phone Number | 2184547546 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699759647 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2011-02-24 |
Provider Mailing Address Detail
| Address | 13359 Isle Dr |
|---|---|
| City | Baxter |
| State | Minnesota (MN) |
| Post Code | 564252222 |
| Phone Number | 2184547546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 45453 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 741720900 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Paul Lundstrom by the Centers for Medicare & Medicaid Services?
The Paul Lundstrom has been issued the NPI (National Provider Identifier) 1699759647. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Paul Lundstrom is geographically located?
The Paul Lundstrom is physically situated at the following location: 13359 Isle Dr, Baxter, MN, 564252222.
What is Paul Lundstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Lundstrom is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Paul Lundstrom receive the assignment of its 1699759647 from the Centers for Medicare & Medicaid Services?
The Paul Lundstrom was issued its 1699759647 by the Centers for Medicare & Medicaid Services on 2005-12-02.
As of what date were the details pertaining to Paul Lundstrom last refreshed?
The information related to the Paul Lundstrom, including its address, specialty, and other relevant details, was last updated on 2011-02-24.