Individual provider · NPI-1

John Chester Bordwell, MD

Family Medicine · Coon Rapids, MN

NPI number1881663326
StatusActive
Last updated in NPPESOct 19, 2011

Details

NPI
1881663326
Entity type
Individual (NPI-1)
Name
John Chester Bordwell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 16, 2006
Last updated
Oct 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine22066MNYes

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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