Individual
JOHN EDWARD SPEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
820 E MOUNTAIN VIEW ST, BARSTOW, CA 92311-3004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA66007
CA
363A00000X
Physician Assistant
Primary
14666
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2021
Last updated
06/03/2025
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