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Individual

RICHARD LAMAR GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(651) 241-3779
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31283
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
479325100
MN
Enumeration date
03/29/2006
Last updated
04/13/2022
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