Pdr Coon Rapids, Inc in Coon Rapids - General Practice
Pdr Coon Rapids, Inc - NPI 1477666428
Pdr Coon Rapids, Inc is a General Practice in Coon Rapids, Minnesota. Pdr Coon Rapids, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdr Coon Rapids, Inc is 1477666428. The last update date is 2020-08-22.
Pdr Coon Rapids, Inc's current location address is 320 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 9529082580. The mailing address for Pdr Coon Rapids, Inc is 320 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdr Coon Rapids, Inc |
|---|---|
| Address | 320 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 9529082580 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ginkel Wallace Todd |
| Credentials | D.C. |
| Telephone Number | 9529082700 |
NPI Number Detail
| NPI Number | 1477666428 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 320 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554335639 |
| Phone Number | 9529082580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Pdr Coon Rapids, Inc by the Centers for Medicare & Medicaid Services?
The Pdr Coon Rapids, Inc has been issued the NPI (National Provider Identifier) 1477666428. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pdr Coon Rapids, Inc?
The Pdr Coon Rapids, Inc is situated at 320 Coon Rapids Blvd Nw, in the city of Coon Rapids, state of MN, with the zip code 554335639.
What is Pdr Coon Rapids, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pdr Coon Rapids, Inc is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477666428 to Pdr Coon Rapids, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1477666428 to Pdr Coon Rapids, Inc on 2006-08-16.
When was the information related to Pdr Coon Rapids, Inc most recently updated or refreshed?
The details pertaining to the Pdr Coon Rapids, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.