Healthcare Provider Details
I. General information
NPI: 1578497558
Provider Name (Legal Business Name): LEVEL2 MEDICAL SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9700 HEALTH CARE LN
MINNETONKA MN
55343-4522
US
IV. Provider business mailing address
9700 HEALTH CARE LN # MN017-W800
MINNETONKA MN
55343-4522
US
V. Phone/Fax
- Phone: 844-302-2821
- Fax:
- Phone: 844-302-2821
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
RALPH
FERRELL
Title or Position: PRESIDENT AND NATIONAL MEDICAL DIRE
Credential: MD
Phone: 304-482-4480