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NPI Code Detail

MEDICARE: DR. CHRISTOPHER EUGENE RICKMAN MD

MEDICARE: DR. CHRISTOPHER EUGENE RICKMAN 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
12085R0202XDiagnostic Radiology Physician4301097540MI
22085R0202XDiagnostic Radiology Physician20453TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497759898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER EUGENE RICKMAN MD
Provider Business Mailing Address
First Line : 3600 MINNESOTA DR STE 800
Second Line :
City : EDINA
State : MN
Zip : 55435-7915
Country : US
Telephone Number : 952-595-1301
Fax Number : 612-294-4903
Provider Business Practice Location Address
First Line : 3600 MINNESOTA DR STE 800
Second Line :
City : EDINA
State : MN
Zip : 55435-7915
Country : US
Telephone Number : 952-595-1301
Fax Number : 612-294-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 02/05/2025

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Directions to “ DR. CHRISTOPHER EUGENE RICKMAN MD” Practice Location

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