Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 3749 | MN |
NPI | 1003034356 |
---|---|
Provider Name | Dr. Paul N Siemers |
First Address | Faribault, MN 55021-7015 |
Second Address | Faribault, MN 55021-7015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 10/08/2013 |