Individual
PAUL R ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
4505 WHITE BEAR PKWY, SUITE 1800, WHITE BEAR LAKE, MN 55110
(651) 426-8191
(651) 426-6766
Mailing address
2230 MIDLAND GROVE RD, #305, ST PAUL, MN 55113
(651) 633-5355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0346LP
MN
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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