Individual
JOSIAH BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
10 W MINNEZONA AVE APT 1010, PHOENIX, AZ 85013-4923
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
78005
MN
Other
Enumeration date
05/03/2023
Last updated
05/08/2025
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