Individual
JOSEPH HAINSWORTH KANDIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 HUNDERTMARK RD, SUITE 220, CHASKA, MN 55318-4551
(952) 448-2050
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24635
MN
Other
Enumeration date
09/22/2006
Last updated
11/09/2011
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