Individual
DR. GORDON ALAN BEARDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
Mailing address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60395
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60395
MN
Other
Enumeration date
11/02/2005
Last updated
04/22/2026
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