Provider Demographics
NPI:1134225535
Name:POHL, MARY JOSEPHA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:JOSEPHA
Last Name:POHL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:806 LINWOOD AVE
Mailing Address - Street 2:APT#1
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-3399
Mailing Address - Country:US
Mailing Address - Phone:651-224-1564
Mailing Address - Fax:
Practice Address - Street 1:540 CEDAR ST
Practice Address - Street 2:MN DEPT HUMAN SERVICES 64984
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2208
Practice Address - Country:US
Practice Address - Phone:651-431-3431
Practice Address - Fax:651-431-7420
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN27632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics