Individual
JUSTIN DANIEL GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6440 NICOLLET AVE, RICHFIELD, MN 55423-1697
(612) 861-1622
(612) 861-2307
Mailing address
2854 HIGHWAY 55 STE 130, EAGAN, MN 55121-1447
(651) 842-3349
(651) 842-3391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
256931
MA
207Q00000X
Family Medicine Physician
Primary
54115
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54115
MN MEDICAL LICENSE
MN
Enumeration date
04/30/2010
Last updated
01/18/2024
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