Provider Demographics
NPI:1417166117
Name:TUVESON, PAUL
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:TUVESON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 DUNLAP ST N STE 600
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4206
Mailing Address - Country:US
Mailing Address - Phone:651-645-0691
Mailing Address - Fax:651-603-8100
Practice Address - Street 1:393 DUNLAP ST N STE 600
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4206
Practice Address - Country:US
Practice Address - Phone:651-645-0691
Practice Address - Fax:651-603-8100
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2029237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist