Organization
ASPIRE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D. JANDL M.D. (CO-OWNER)
(612) 822-5557
Entity
Organization
Contact information
Practice address
1595 SELBY AVE, SUITE 102, SAINT PAUL, MN 55104-6221
(612) 220-6020
Mailing address
1595 SELBY AVE, SUITE 102, SAINT PAUL, MN 55104-6221
(612) 220-6020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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