Individual
DANIEL P BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-3054
(218) 828-7100
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
(320) 762-6101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10494
MN
Other
Enumeration date
10/03/2008
Last updated
06/06/2025
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