Healthcare Provider Details

I. General information

NPI: 1992073357
Provider Name (Legal Business Name): JOEL PHILIP FRENCH PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 MINNETONKA BLVD
MINNETONKA MN
55345-1506
US

IV. Provider business mailing address

1155 FORD RD APT 407
ST LOUIS PARK MN
55426-1147
US

V. Phone/Fax

Practice location:
  • Phone: 952-930-8512
  • Fax:
Mailing address:
  • Phone: 352-284-2446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: