Individual
GRADY HEDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 E 28TH ST STE 700, MINNEAPOLIS, MN 55407-1163
(952) 852-5320
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036144132
IL
207R00000X
Internal Medicine Physician
125064596
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036144132
IL
207RP1001X
Pulmonary Disease Physician
036144132
IL
207RP1001X
Pulmonary Disease Physician
Primary
71475
MN
Other
Enumeration date
06/02/2014
Last updated
07/25/2024
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