Individual
DR. JOEL AUGUSTINE SCHIRVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PYSD LP
Contact information
Practice address
1811 WEIR DR, SUITE 270, WOODBURY, MN 55125-2272
(651) 714-9646
(651) 714-9647
Mailing address
1900 SILVER LAKE RD NW, 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2179-057
WI
103G00000X
Clinical Neuropsychologist
Primary
LP3855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308222900
—
MN
Enumeration date
01/19/2006
Last updated
08/28/2014
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