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PAUL W NEROTHIN MD
NPI 1861454084
Family Medicine in Forest Lake, MN

Active since April 04, 2006
1540 LAKE ST S, FOREST LAKE, MN 55025(651) 464-7100(651) 241-1515 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul W Nerothin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL W NEROTHIN MD (NPI 1861454084) is an individual family medicine provider in Forest Lake, Minnesota, licensed in Minnesota (20298) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1861454084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL W NEROTHINCredential: MD
Location Address1540 LAKE ST SForest Lake, MN 55025-2628
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(651) 464-7100
Fax(651) 241-1515
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateOctober 10, 2011
✔ NPI 1861454084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 20298
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1540 LAKE ST S, Forest Lake, MN 55025
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Other Identifiers 3

Medicare UPINA95805
Medicare PIN080020750MN
Medicaid606773500MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLUWAKEMI TINUKE OLOWOYO M.D
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
DR. KATHRYN LEE ISHAM L.P.
Psychologist
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
VIRGINIA L BENNETT MS, RD, LD
Dietitian, Registered
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
DR. VIVIAN LILLY WIREKO-BROBBY M.D.
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
SHARILYN K MOORE DPM
Podiatrist
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
GARY J. MAYER MD
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
LINDA WILKES ASADOURIAN MD
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100
STEVEN DUANE SEMMLER M.D.
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Washington County (651) 464-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Nerothin's NPI number?

The NPI number for Paul Nerothin is 1861454084. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Paul Nerothin located?

Paul Nerothin practices at 1540 Lake St S, Forest Lake, MN 55025. The listed phone number is (651) 464-7100.

What is Paul Nerothin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Paul Nerothin was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.