John O Punderson in Saint Paul - Family Medicine

John O Punderson - NPI 1093726077

John O Punderson is a Family Medicine in Saint Paul, Minnesota. John O Punderson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John O Punderson is 1093726077. The last update date is 2011-10-14.

John O Punderson's current location address is 2025 Sloan Pl, Saint Paul, Minnesota. You can contact this provider via phone number 6517721572 and fax number 6517721889. The mailing address for John O Punderson is 2025 Sloan Pl, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John O Punderson
Address 2025 Sloan Pl, Saint Paul, Minnesota
Phone Number 6517721572
Fax Number 6517721889
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093726077
Provider Enumeration Date 2006-08-11
Last Updated Date 2011-10-14

Provider Mailing Address Detail

Address 2025 Sloan Pl
City Saint Paul
State Minnesota (MN)
Post Code 551172007
Phone Number 6517721572
Fax Number 6517721889

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 23358
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
418588900 MN --

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FAQs about John O Punderson

What is the unique 10-digit identification code assigned to John O Punderson by the Centers for Medicare & Medicaid Services?

The John O Punderson has been issued the NPI (National Provider Identifier) 1093726077, which 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 John O Punderson is geographically located?

The John O Punderson is physically situated at the following location: 2025 Sloan Pl, Saint Paul, MN, 551172007.

What is John O Punderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John O Punderson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093726077 to John O Punderson?

The John O Punderson received its 1093726077 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.

When was the information regarding John O Punderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John O Punderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-14.

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