Individual
MARSHAL KHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
345 SMITH AVE N, MAIL STOP 70-504, ST. PAUL, MN 55102-2346
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
67677
MN
208000000X
Pediatrics Physician
5101022793
MI
Other
Enumeration date
06/17/2016
Last updated
04/05/2022
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