Individual
DR. JONATHAN W. BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-6665
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74240
MN
207P00000X
Emergency Medicine Physician
77540
WI
Other
Enumeration date
04/01/2020
Last updated
03/25/2025
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