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Individual

DR. RICHARD BERNIE GUTHRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1355 PHALEN BLVD, # 109, SAINT PAUL, MN 55106-3679
(651) 271-3697
Mailing address
1355 PHALEN BLVD, # 109, SAINT PAUL, MN 55106-3679
(651) 271-3697

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20562
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020285100
MN
05
31283300
WI
Enumeration date
02/28/2006
Last updated
05/29/2012
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