Provider Demographics
NPI:1528024494
Name:PAPARELLA, MICHAEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:PAPARELLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:701 25TH AVE S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454
Mailing Address - Country:US
Mailing Address - Phone:612-339-2124
Mailing Address - Fax:612-843-3550
Practice Address - Street 1:701 25TH AVE S
Practice Address - Street 2:SUITE 200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-339-2124
Practice Address - Fax:612-843-3550
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2008-04-04
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Provider Licenses
StateLicense IDTaxonomies
MN17666207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1016458OtherMEDICA
MN961220375001OtherPREFERRED ONE
MNA94192OtherWAUSAU/PT CHOICE
MNPA13282OtherBCBS OF MN
WI31287100Medicaid
MNHP14127OtherHEALTH PARTNERS
MN1016458OtherSELECT CARE
MN20981OtherAMERICAS PPO
WI31287100Medicaid