Individual
RUSSEL A WARNSHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4040 RADIO DR, WOODBURY, MN 55129-3237
(514) 398-8076
(651) 439-0232
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10674
MN
Other
Enumeration date
09/22/2009
Last updated
05/12/2021
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