Active NPIIndividual provider

Julie A Pazdernik, MD

Family Medicine in Detroit Lakes, Minnesota

NPI Number1104866847
Practice location
1027 Washington Ave, Detroit Lakes, MN 56501-3409
Fax
218-847-0881
Last updated
May 4, 2026

Julie A Pazdernik is a Family Medicine based in Detroit Lakes, MN. Julie A Pazdernik practices in Detroit Lakes, MN and has the professional credentials of MD. The NPI Number for Julie A Pazdernik is 1104866847 and holds a License No. 1025096 (MA). The current practice location address for Julie A Pazdernik is 1027 Washington Ave, Detroit Lakes, MN 56501-3409 and can be reached out via phone at 218-847-5611 and via fax at 218-847-0881.

Provider Profile Details

NPI Number
1104866847
Provider Name
Julie A Pazdernik
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1027 Washington Ave, Detroit Lakes, MN 56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2006
Last Update Date
May 4, 2026
Certification Date
May 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
Detroit Lakes, MN 56501Get directions →

Provider Business Mailing Address Details

Address
26 Queen Street
Worcester, MA 01610-2473
City
Worcester
State
MA
Zip
01610-2473
Phone Number
508-860-7800
Fax Number
508-661-3046

License Information

License Number (1)
1025096
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
46487
License State (2)
MN
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julie A Pazdernik, MD?

The NPI number of Julie A Pazdernik, MD is 1104866847. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Julie A Pazdernik, MD?

Julie A Pazdernik, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 1025096.

Where does Julie A Pazdernik, MD practice?

The practice location is 1027 Washington Ave, Detroit Lakes, MN 56501-3409. The office can be reached at 218-847-5611 (phone) or 218-847-0881 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104866847 directly on the NPPES registry website.

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