Paul M Reitman


Address: 4663 White Bear Pkwy, White Bear Lake, MN 55110-3300

Paul M Reitman (NPI# 1720010366, PAC ID# 2860391950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1720010366
PAC ID by PECOS 2860391950
Professional Enrollment ID I20040112000046
Full Name Paul M Reitman
Address 4663 White Bear Pkwy
White Bear Lake
MN 55110-3300
Gender M
Credential CP
Graduation Year 1979
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4663 White Bear Pkwy, White Bear Lake, MN 55110-3300

Organization Information

Office Location

Street Address 4663 WHITE BEAR PKWY
City WHITE BEAR LAKE
State MN
Zip 55110-3300

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Competitor

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City WHITE BEAR LAKE
Zip Code 55110
Specialty CLINICAL PSYCHOLOGIST
City + Specialty WHITE BEAR LAKE + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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