Individual provider · Type 1 NPI
Daniel P. Boll, PA-C
Medical Physician Assistant · Brainerd, MN
NPI number
1225289689
Active
Practice location
2024 S 6th St
Brainerd, MN 56401-3054
Mailing address
111 17th Ave E
Alexandria, MN 56308-5273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10494 (MN) |
Medical Physician Assistant: Definition to come...
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About NPI 1225289689
Daniel P. Boll, PA-C's National Provider Identifier is 1225289689, issued on Oct 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brainerd, MN. The record was last updated on Jun 6, 2025.