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Search › Minnesota › 103TC1900X

Richard Douglass, PHD

NPI 1598341083 · on the registry since 2021 · sole proprietor

Practice

Address
5200 Willson Rd Ste 150
Edina, MN 55424
Phone
(612) 433-3065
Organisation at this address
Spur Of Life
Lindamaachllc
Pordford, Inc.
Kate Murphy Llc
Angela Brust, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota