Provider Demographics
NPI:1831158062
Name:ZANDER, PAUL J (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:ZANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E 26TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4526
Mailing Address - Country:US
Mailing Address - Phone:612-884-6300
Mailing Address - Fax:612-884-6363
Practice Address - Street 1:910 E 26TH ST
Practice Address - Street 2:STE 200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4526
Practice Address - Country:US
Practice Address - Phone:612-884-6300
Practice Address - Fax:612-884-6363
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN33853207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1011369OtherPREFERRED ONE
MN26692OtherAMERICA'S PPO
WI31816400Medicaid
MN3611135OtherMEDICA
MN401803600Medicaid
MNHP11760OtherHEALTHPARTNERS
MN115875OtherUCARE MN
MN18A02ZAOtherBLUE CROSS BLUE SHIELD MN
MN3611135OtherMEDICA
MNHP11760OtherHEALTHPARTNERS
WI31816400Medicaid