Patrick Pederson
Patrick Pederson is an Internal Medicine in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 22
- Trained at
- University of Minnesota Medical School
- Licensed in
- MN
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
640 Jackson StSaint Paul, MN 55101-2502
Phone: (651) 254-9545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 51425 (MN) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 51425 (MN) |
Record details
| NPI number | 1336321348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 30, 2007 |
| Last updated in NPPES | February 13, 2013 |
| Mailing address | 640 Jackson St, Saint Paul, MN 55101-2502 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduated | 2004 (22 years in practice) |
| Group practice | Group Health Plan Inc — 1633 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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