Individual
DR. RANDY K WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49255
MN
2084P0015X
Psychosomatic Medicine Physician
49255
MN
2084P0800X
Psychiatry Physician
Primary
49255
MN
Other
Enumeration date
08/24/2006
Last updated
07/27/2022
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