Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 21009 | MN |
NPI | 1699847400 |
---|---|
Provider Name | Dr. Richard Jerome Aadalen |
First Address | Dallas, TX 75320-9036 |
Second Address | Minneapolis, MN 55414-3604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 07/04/2011 |