Provider Demographics
NPI:1336771591
Name:WAWIN, PAUL GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GEORGE
Last Name:WAWIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:712 CASCADE ST
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537
Mailing Address - Country:US
Mailing Address - Phone:218-736-8000
Mailing Address - Fax:218-736-8765
Practice Address - Street 1:111 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-736-8000
Practice Address - Fax:218-736-8765
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2024-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN667162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry