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Search › Minnesota › 363A00000X

Carly Witherell, PA-C

NPI 1750904819 · on the registry since 2020 · sole proprietor

Practice

Address
420 Delaware St Se
Minneapolis, MN 55455
Phone
(612) 884-0600
Organisation at this address
Neurology Ltd.
University Of Minnesota
University Of Minnesota
University Of Minnesota
University Of Minnesota
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,001

Additional practice sites

  • 3200 Grand Ave, Des Moines, IA
  • 5501 Feltl Rd, Minnetonka, MN

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota