Individual
DR. JOSEPH CARL ARDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40225
MN
207R00000X
Internal Medicine Physician
42085
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080457600
—
MN
05
—
32647700
—
WI
Enumeration date
11/23/2005
Last updated
01/04/2011
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