NPI 1477589414 · live from the CMS NPI Registry
Joseph Berdecia-Rodriguez, MD-PhD
Family Medicine in Cloquet, MN. National Provider Identifier 1477589414, active.
NPI record
| NPI | 1477589414 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 512 Skyline Blvd, Cloquet, MN 55720 |
| Practice phone | 218-879-4641 |
| Mailing address | 151 Palm Ct, Lexington, SC 29072 |
| Enumerated | June 23, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
| Other names | Joseph Berdecia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 28260 (IA) |
| Family Medicine | 207Q00000X | 34357 (MT) |
| Family Medicine primary | 207Q00000X | 54017 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.