MICHAEL THOMAS PADDOCK

ST. PAUL, MN
NPI1457663601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MN  108311)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036131957)
207P00000X Emergency Medicine
(Licence: WI  64249)
Enumeration Date2010-07-04
Last Update Date2019-05-13
Business Address
Dr. MICHAEL THOMAS PADDOCK D.O.
640 JACKSON STREET MS11102F
ST. PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
Dr. MICHAEL THOMAS PADDOCK D.O.
PO BOX 1309 - 8170 33RD AVE S MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number: 651-254-3456
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