Individual
DAVID GARETT PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 423 SOUTH, SAINT PAUL, MN 55114-1052
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
43435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148053
—
MT
05
—
0596858
—
IA
01
—
135330
UCARE
MN
01
—
1612851
ARAZ
MN
01
—
29-00011
MEDICA PRIMARY
MN
01
—
29-00430
MEDICA CHOICE
MN
05
—
34706700
—
WI
05
—
812915100
—
MN
01
—
B664
CHAMPUS
MN
01
—
HP56030
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
12/04/2008
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