Provider Demographics
NPI:1225478118
Name:SPERL, LIAM (PA-C)
Entity Type:Individual
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First Name:LIAM
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Last Name:SPERL
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:640 JACKSON ST
Mailing Address - Street 2:MS 11302C
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2502
Mailing Address - Country:US
Mailing Address - Phone:651-254-2300
Mailing Address - Fax:651-254-2301
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:MS 11302C
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-2300
Practice Address - Fax:651-254-2301
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant