Individual
EVAN HALL JOSEPH EVAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3804
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
307132
MN
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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