NPI 1003542069
Neuro PLLC
Practice location
- Address
- 15600 36th Ave N STE 140, Plymouth, MN 55446-3372
- Phone
- (763) 308-5772
- Fax
- (612) 392-7974
Authorised official
- Name
- Anthony Odland
- Title
- Owner/Ceo
- Phone
- (320) 491-8233
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1003542069
- Entity type
- Organization
- NPI issued
- 1 Aug 2022
- Record last updated
- 1 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.