Individual
MR. J ROBERT NOEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPAC
Contact information
Practice address
FAIRVIEW GERIATRIC SERVICES, 7505 METRO BLVD SUITE 100, EDINA, MN 55439
(651) 247-1366
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5463
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8842
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751119100
—
MN
Enumeration date
03/21/2006
Last updated
08/31/2020
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