Individual
KEITH CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 CHICAGO AVE S, SUITE 400, MINNEAPOLIS, MN 55404-4387
(612) 813-3300
(612) 813-3349
Mailing address
2530 CHICAGO AVE S, SUITE 400, MINNEAPOLIS, MN 55404-4387
(612) 813-3300
(612) 813-3349
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
40154
CO
2080P0214X
Pediatric Pulmonology Physician
Primary
41590
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38376733
—
CO
Enumeration date
10/25/2006
Last updated
03/02/2011
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