NPI 1790748879 · live from the CMS NPI Registry
Randall Chadwick, MD
Orthopaedic Surgery in Coon Rapids, MN. National Provider Identifier 1790748879, active.
NPI record
| NPI | 1790748879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 |
| Practice phone | 763-780-9155 |
| Mailing address | 2925 Chicago Ave, Minneapolis, MN 55407 |
| Enumerated | April 10, 2006 |
| Last updated | November 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 34765 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.