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1801875869
KEVIN J BARDWELL
BAXTER, MN
NPI
1801875869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 36003)
Enumeration Date
2006-01-10
Last Update Date
2019-07-08
Business Address
KEVIN J BARDWELL MD
13060 ISLE DR
BAXTER, MN 56425-8331
Phone number: 218-828-2880
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Mailing Address
KEVIN J BARDWELL MD
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number:
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