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Randall Chadwick Jr., MD

Orthopaedic Surgery in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1790748879
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1790748879
Entity type
Individual (NPI-1)
Name
Randall Chadwick Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2006
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery34765MNYes

Practice location

9055 Springbrook Dr Nw
Coon Rapids, MN 55433-5841

Phone 763-780-9155

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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