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Individual
DR. ROBERT G. RIEDEL
Active
Individual
DR. ROBERT G. RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP0626
MN
103TF0200X
Forensic Psychologist
Primary
LP0626
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063L4RI
BLUE SHIELD OF MINNESOTA
MN
01
—
1042326
PREFERREDONE
MN
05
—
531347300
—
MN
Enumeration date
06/22/2006
Last updated
08/10/2011
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