Individual
MICHAEL DAVID JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 NORTHWOODS DR, ARDEN HILLS, MN 55112
(651) 787-9600
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-9824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60470
MN
Other
Enumeration date
05/02/2014
Last updated
08/03/2018
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