Individual
PATRICK J RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S, SUITE 200, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 884-2656
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 567-6092
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36405
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34376400
—
WI
05
—
629063900
—
MN
Enumeration date
09/14/2005
Last updated
03/25/2013
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