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Organization
INTERMED CONSULTANTS,LTD.
Active
Organization
INTERMED CONSULTANTS,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L BOWLIN M.D. (PRESIDENT)
(952) 920-2070
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S STE 162, EDINA, MN 55435-1802
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222718500
—
MN
01
—
33Q83IN
BLUE CROSS BLUE SHIELD
MN
01
—
52581
HEALTHPARTNERS
MN
01
—
CE0723
RAILROAD MEDICARE
MN
Enumeration date
10/03/2006
Last updated
03/10/2023
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