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

Paul W Nerothin, MD

Individual provider Family Medicine Physician · NPI 1861454084

Paul W Nerothin, MD is a Family Medicine Physician in Forest Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1540 Lake St S
Forest Lake, MN 55025-2628
Phone: (651) 464-7100
Fax: (651) 241-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20298 (MN)

Record details

NPI number1861454084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESOctober 10, 2011
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

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