Individual
BRIAN D. AMDAHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 779-9322
(651) 779-9325
Mailing address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 779-9322
(651) 779-9325
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33382
MN
207RP1001X
Pulmonary Disease Physician
Primary
33382
MN
Other
Enumeration date
05/17/2006
Last updated
09/11/2025
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