Daniel L Paeth, MD
Family Medicine in Thief River Falls, MN. Individual provider (NPI-1).
NPI number1629645320
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1629645320
- Entity type
- Individual (NPI-1)
- Name
- Daniel L Paeth
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2021
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 77122 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11021505A | IN |
Practice location
3001 Sanford PkwyThief River Falls, MN 56701-2700
Phone 218-681-4747
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-9419
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Family Medicine Physician providers in Thief River Falls · All 272 providers in Thief River Falls
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