Individual
LINDA SHAW HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 564-3880
(952) 945-9536
Mailing address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 564-3880
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9712
MN
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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