Dr. Richard Paul Carroll, MD - Minneapolis, MN

Dr. Richard Paul Carroll, MD

Specialist in Minneapolis, Minnesota

NPI 1407828007

Richard Paul Carroll is a Specialist based in Minneapolis, MN. Richard Paul Carroll practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Richard Paul Carroll is 1407828007 and holds a License No. 21566 (Minnesota).

The current practice location address for Richard Paul Carroll is 4887 E Lake Harriet Blvd, Minneapolis, MN and can be reached out via phone at 612-325-0317.

Location: 4887 E Lake Harriet Blvd, Minneapolis, MN, 55419-5222

NPI Number

1407828007

Provider Name

Richard Paul Carroll

Credential

Provider Entity Type

Individual

Gender

Male

Address

4887 E Lake Harriet Blvd, Minneapolis, MN, 55419-5222

Phone Number

612-325-0317

Fax Number

Provider Enumeration Date

02/07/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
648872200	05	MN
6D561CA	01	MN	BCBS PROVIDER NUMBER
31260500	01	WI	WISCONSIN MA PROVIDER NO.

Address

4887 E Lake Harriet Blvd

City

Minneapolis

State

Minnesota

Zip

55419-5222

Phone Number

612-325-0317

Fax Number

Address

4887 E Lake Harriet Blvd

City

Minneapolis

State

Minnesota

Zip

55419-5222

Phone Number

612-325-0317

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

21566 (Minnesota)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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