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Individual

RICHARD C. BIRDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-7700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47478
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463914600
MN
Enumeration date
03/24/2006
Last updated
11/09/2020
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