Provider Demographics
NPI:1114037835
Name:NUTTALL, FRANK QUENTIN (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:QUENTIN
Last Name:NUTTALL
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:ONE VETERANS DRIVE
Mailing Address - Street 2:111G ENDOCRINE METABOLIC MPLS VA MEDICAL CENTER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417
Mailing Address - Country:US
Mailing Address - Phone:612-467-4424
Mailing Address - Fax:612-725-2273
Practice Address - Street 1:ONE VETERANS DRIVE
Practice Address - Street 2:111G ENDOCRINE METABOLIC MPLS VA MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-467-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN13989207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism