Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 56034 | MN |
NPI | 1023227162 |
---|---|
Provider Name | Paul Brian Atkinson |
First Address | Roseville, MN 55113-1306 |
Second Address | Roseville, MN 55113-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 13/01/2022 |