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MR. NATHANAEL SEAN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 847-4029
(952) 847-4067

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12495
MN

Other

Enumeration date
03/07/2011
Last updated
10/12/2017
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