Individual
DR. SHASHANK DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
73720
MN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
73720
MN
Other
Enumeration date
06/01/2016
Last updated
07/01/2023
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