DAVID RUSSELL WIDDIFIELD

APPLE VALLEY, MN
NPI1356383319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  20458)
Enumeration Date2006-06-12
Last Update Date2007-09-18
Business Address
-- DAVID RUSSELL WIDDIFIELD M.D.
14655 GALAXIE AVE
APPLE VALLEY, MN 55124-8575
Phone number: 952-432-6161
Mailing Address
-- DAVID RUSSELL WIDDIFIELD M.D.
14655 GALAXIE AVE
APPLE VALLEY, MN 55124-8575
Phone number: 952-432-6161
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