Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 49899 | MN |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 62899 | WI |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-42908 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | 49899 | MN |
NPI | 1104945336 |
---|---|
Provider Name | Paul M Mckie |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 18/08/2020 |