Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul S Vietzen

Individual provider Surgery Physician · NPI 1851346753

Paul S Vietzen is a General Surgery in St Louis Park, Minnesota. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1999, 27 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
27
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 993-3653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 44862 (MN)

Record details

NPI number1851346753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 8, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1999 (27 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in St Louis Park