Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL M DITMANSON, M.D.
Active Sole ProprietorPAUL M DITMANSON, M.D. is a Family Medicine healthcare provider located in RED LAKE, Minnesota. NPI 1922181676 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RED LAKE, MN
Registration Details
- NPI Number
- 1922181676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.812256429413 yrs)
- Last Updated
- Nov 8, 2007
- License
-
30915 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HWY 1 BOX 497PHS INDIAN HOSPITALRED LAKE, MN, 56671Browse MN providers · Browse ZIP 56671
- Phone
- 2186793912
- Fax
- 2186790181
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RED LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MARK DOUGLAS CUNNINGHAM | D.O. | 1548290950 |
| JOHN J PIENIAZEK | M.D. | 1740360163 |
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.