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Organization

INTERMED CONSULTANTS,LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L BOWLIN M.D. (PRESIDENT)
(952) 920-2070
Entity
Organization

Contact information

Practice address
6600 FRANCE AVE S STE 162, EDINA, MN 55435-1802
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222718500
MN
01
33Q83IN
BLUE CROSS BLUE SHIELD
MN
01
52581
HEALTHPARTNERS
MN
01
CE0723
RAILROAD MEDICARE
MN
Enumeration date
10/03/2006
Last updated
03/10/2023
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