MEDICARE: JOHN DOWDLE 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
1	207X00000X	Orthopaedic Surgery Physician	22142	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200017496	OTHER	MN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2905012	OTHER	MN	SELECT CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841268976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DOWDLE MD

Provider Business Mailing Address
First Line	:	710 COMMERCE DR STE 200
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-4925
Country	:	US
Telephone Number	:	651-968-5042
Fax Number	:	651-968-5904

Provider Business Practice Location Address
First Line	:	2090 WOODWINDS DR STE 100
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-2522
Country	:	US
Telephone Number	:	651-968-5201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/21/2022

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Directions to “ JOHN DOWDLE MD” Practice Location

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