Individual
DR. DOUGLAS PAUL CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12348
ID
2085R0202X
Diagnostic Radiology Physician
Primary
64827
MN
2085R0202X
Diagnostic Radiology Physician
MD00042409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172074
L&I PROVIDER NUMBER
WA
01
—
172345
L&I PROVIDER NUMBER
WA
01
—
184435
L&I PROVIDER NUMBER
WA
05
—
1982682209
—
ID
05
—
8361081
—
WA
Enumeration date
01/06/2006
Last updated
07/13/2022
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