Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 32840 | MN |
NPI | 1316053051 |
---|---|
Provider Name | Paul Christian Biewen |
First Address | St Louis Park, MN 55426-1728 |
Second Address | Edina, MN 55435-4534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2300110 | MEDICA (01) | MN |
73B05BI | BLUE CROSS BLUE SHIELD (01) | MN |
969991006698 | PREFERREDONE (01) | MN |
E02460 | (02) | |
HP17477 | HEALTHPARTNERS (01) | MN |