Individual
PAUL DAVID JANDL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 UNIVERSITY AVE W, STE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVE W, STE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15 75696
MEDICA
MN
01
—
99554JA
BCBS OF MN
MN
Enumeration date
01/05/2006
Last updated
07/08/2007
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