Dewey, Paul R.

Dewey, Paul R. is an individual health care provider with primary practice located at 4570 Cty. Hwy. 61 , Moose Lake MN 55767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dewey, Paul R. can be contacted via phone (218) 485-4491.

Contact Information

Primary practice address
4570 Cty. Hwy. 61 Moose Lake MN 55767
Phone: (218) 485-4491
Fax: (218) 485-4724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43634 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43634 Minnesota

Profile Details

NPI number 1760485387
LBN Legal business name Dewey, Paul R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760485387 NPPES
Minnesota MEDICAID 792640500

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