Provider Demographics
NPI:1124100821
Name:DRUCK, PAUL NMI (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:NMI
Last Name:DRUCK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:#112
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-725-2000
Mailing Address - Fax:612-725-2227
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:#112
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:612-725-2227
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN330562086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care