| Paul Marshall Llc | |
|
825 Nicollet Mall Ste 1440 Medical Arts Bldg Minneapolis MN 55402-2718 | |
| (612) 460-8502 | |
| (651) 730-6657 |
| Full Name | Paul Marshall Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 825 Nicollet Mall Ste 1440, Minneapolis, Minnesota |
| Authorized Official Name and Position | Aimee Petra (BUSINESS MANAGER) |
| Authorized Official Contact | 6517388561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Marshall Llc 1811 Weir Dr Ste 190 Woodbury MN 55125-2292 Ph: (651) 738-8561 | Paul Marshall Llc 825 Nicollet Mall Ste 1440 Medical Arts Bldg Minneapolis MN 55402-2718 Ph: (612) 460-8502 |
| NPI Number | 1962750026 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962750026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | LP1606 (Minnesota) | Primary |
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