Nathanael Paul Shull

NPI #1255034054 in Shoreview, Minnesota

Provider Information

NPI Number
1255034054
Entity Type
Individual
Name
Nathanael Paul Shull
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Mar 22, 2023
Last Updated
Jun 26, 2025

Practice Location

Address
4194 LEXINGTON AVE N
ZIP Code
55126-6106
Phone
(651) 483-5461

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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