Individual
DR. NISHANT DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11225 ULYSSES ST NE, BLAINE, MN 55434-4261
(763) 302-2600
(763) 302-2601
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
77124
MN
Other
Enumeration date
06/22/2018
Last updated
08/06/2024
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