Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 5481 | SD |
NPI | 1134174865 |
---|---|
Provider Name | Dr. Paul E Meyer |
First Address | Sioux Falls, SD 57117-5009 |
Second Address | Sioux Falls, SD 57108-8148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 24/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0585356 | (05) | IA |
0920074 | (05) | IA |
4995266 | SD BCBS (01) | SD |
6004850 | (05) | SD |
871S2ME | MN BCBS - PLAN 91057NO (01) | MN |
I12026 | (02) | SD |