Individual
DR. JOSEPH P MARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(763) 236-3800
(763) 236-3821
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52491
MN
2084P0800X
Psychiatry Physician
D0028213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0028213
STATE LICENSE
MD
Enumeration date
06/05/2006
Last updated
11/10/2020
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