-- KEVIN S. WALL --
Individual Provider (NPI-1)
Active
Preventive Medicine, Occupational Medicine
Provider Information
- NPI Number
1508843335- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1661 SAINT ANTHONY AVE, SAINT PAUL, MN, 551043733
- Phone
- (651) 968-5300
- Fax
- (651) 646-0205
Specialties & Taxonomies
Preventive Medicine, Occupational Medicine
Primary License: MN #38367