Gotlieb, Paul S.

Gotlieb, Paul S. is an individual health care provider with primary practice located at 6545 France Ave S Suite 150, Edina MN 55435-2131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gotlieb, Paul S. can be contacted via phone (952) 848-5600.

Contact Information

Primary practice address
6545 France Ave S Suite 150 Edina MN 55435-2131
Phone: (952) 848-5600
Fax: (952) 848-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34200 Minnesota

Profile Details

NPI number 1578569042
LBN Legal business name Gotlieb, Paul S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 29th, 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 1578569042 NPPES
Minnesota Other 0425224 MEDICA HEALTH PLAN
Minnesota MEDICAID 164202200 MEDICA HEALTH PLAN
Minnesota Other 1M593GO MEDICA HEALTH PLAN

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