Sperduto, Paul W

Sperduto, Paul W is an individual health care provider with primary practice located at 490 S Maple St # 117, Waconia MN 55387-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sperduto, Paul W can be contacted via phone (952) 442-6000.

Contact Information

Primary practice address
490 S Maple St # 117 Waconia MN 55387-1760
Phone: (952) 442-6000
Fax: (952) 442-6004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 34957 Minnesota

Profile Details

NPI number 1891789053
LBN Legal business name Sperduto, Paul W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891789053 NPPES
Wisconsin MEDICAID 32721200
Wisconsin Other 104527
Wisconsin Other HP14452
Wisconsin Other 24-28410
Wisconsin Other 100685
Wisconsin Other 24-00004
Wisconsin Other 963071000190
Wisconsin Other 25142
Wisconsin Other 2M662SP

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