DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL THOMAS PADDOCK, D.O.

Active

DR. MICHAEL THOMAS PADDOCK, D.O. is a Emergency Medicine healthcare provider located in ST. PAUL, Minnesota. NPI 1457663601 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · ST. PAUL, MN

Registration Details

NPI Number
1457663601
Provider Type
Individual
Gender
Male
NPI Issued
Jul 4, 2010 (16.10226679322 yrs)
Last Updated
May 13, 2019
Licenses
036131957 (IL)
64249 (WI)
108311 (MN)

Practice Information

Address
640 JACKSON STREET
MS11102F
ST. PAUL, MN, 551012502
Browse MN providers · Browse ZIP 55101
Phone
6512543456
Fax
6512545216
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in ST. PAUL, MN

Name Credential NPI
JENNIFER H BLOCK MD 1861469025
DR. BRIAN KESSEN M.D. 1184910218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.