GEOFFREY J THEOBALD

BURNSVILLE, MN
NPI1780642082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10003)
Enumeration Date2006-05-03
Last Update Date2012-08-15
Business Address
Mr. GEOFFREY J THEOBALD P.A.-C
1000 W 140TH ST SUITE 201
BURNSVILLE, MN 55337-4480
Phone number: 952-898-6300
Mailing Address
Mr. GEOFFREY J THEOBALD P.A.-C
4200 DAHLBERG DR SUITE 300
GOLDEN VALLEY, MN 55422-4840
Phone number: 952-512-5600