Individual
RANDALL C WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11475 ROBINSON DR NW, 21110Q, COON RAPIDS, MN 55433-3746
(763) 587-9000
(763) 587-9130
Mailing address
11475 ROBINSON DR NW, 21110Q, COON RAPIDS, MN 55433-3746
(763) 587-9000
(763) 587-9130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25916
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958502800
—
MN
Enumeration date
02/28/2006
Last updated
11/20/2013
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