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Contact Information

PAUL C RONDESTVEDT, MD
5200 FAIRVIEW BLVD
WYOMING, MN55092-8013
 Phone: 651-982-7300
 Fax: 651-982-7301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PAUL C RONDESTVEDT · (Male)

NPI Number 1518933985
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 37224
  • WI License # 74526-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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