John R Liddicoat in Minneapolis - Thoracic Surgery (cardiothoracic Vascular Surgery)

John R Liddicoat - NPI 1750579694

John R Liddicoat is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Minneapolis, Minnesota. John R Liddicoat practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for John R Liddicoat is 1750579694. The last update date is 2007-10-04.

John R Liddicoat's current location address is 2208 Oliver Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 7633607961. The mailing address for John R Liddicoat is 2208 Oliver Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Liddicoat
Address 2208 Oliver Ave S, Minneapolis, Minnesota
Phone Number 7633607961
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1750579694
Provider Enumeration Date 2007-10-04
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 2208 Oliver Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554052441
Phone Number 7633607961
Fax Number

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No 209670
Definition:
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities

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FAQs about John R Liddicoat

What is the unique identification code assigned to John R Liddicoat by the Centers for Medicare & Medicaid Services?

The John R Liddicoat has been issued the NPI (National Provider Identifier) 1750579694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John R Liddicoat?

The John R Liddicoat is physically situated at 2208 Oliver Ave S, in the city of Minneapolis, state of MN, with the postal code 554052441.

What is John R Liddicoat's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John R Liddicoat is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that categorizes this field of expertise is 208G00000X.

When did the John R Liddicoat receive its 1750579694?

The John R Liddicoat was issued its 1750579694 on 2007-10-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to John R Liddicoat, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John R Liddicoat, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-04.

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