Individual
MICHAEL SHANE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102-2481
(651) 241-5959
(651) 241-5958
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
62515
MN
Other
Enumeration date
04/08/2016
Last updated
08/03/2021
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