Provider Demographics
NPI:1992073357
Name:FRENCH, JOEL PHILIP (PHD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:PHILIP
Last Name:FRENCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 FORD RD APT 407
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1147
Mailing Address - Country:US
Mailing Address - Phone:352-284-2446
Mailing Address - Fax:
Practice Address - Street 1:15000 MINNETONKA BLVD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-1506
Practice Address - Country:US
Practice Address - Phone:952-930-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator