Individual
MARY ELIZABETH NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3366 OAKDALE AVE N STE 103, ROBBINSDALE, MN 55422-2961
(763) 520-7870
(763) 520-7580
Mailing address
3366 OAKDALE AVE N STE 103, ROBBINSDALE, MN 55422-2961
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12982
MN
Other
Enumeration date
04/29/2019
Last updated
07/31/2019
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