Search › Minnesota › 103TC1900X
Randal Staats
NPI 1760572317 · on the registry since 2006
Practice
- Address
- 2414 Park Ave
Minneapolis, MN 55404 - Phone
- (612) 879-5362
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-30
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