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NPI Code Detail

MEDICARE: DAVID W GRIFFIN MD

MEDICARE: DAVID W GRIFFIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician24676MN

General Provider Information

NPI Number : 1326024787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W GRIFFIN MD
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : MS21110Q
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 952-883-5375
Fax Number : 651-702-5305
Provider Business Practice Location Address
First Line : 8450 SEASONS PKWY - MAIL STOP 32900A
Second Line : HEALTHPARTNERS WOODBURY CLINIC
City : WOODBURY
State : MN
Zip : 55125-4402
Country : US
Telephone Number : 651-702-5300
Fax Number : 651-702-5305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 12/07/2011

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