DAVID RANDAL

ST LOUIS PARK, MN
NPI1275519795
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MN  LP2548)
Enumeration Date2005-12-16
Last Update Date2007-07-08
Business Address
DAVID RANDAL
PARK NICOLLET CLINIC IDC 3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Phone number: 952-993-3393
Mailing Address
DAVID RANDAL
6465 WAYZATA BLVD ST E 315
ST LOUIS PARK, MN 55426-1728
Phone number: 952-993-6450