Provider Demographics
NPI:1144401720
Name:TRIDGELL, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:TRIDGELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3800 PARK NICOLLET BLVD
Mailing Address - Street 2:ADULT ENDOCRINOLOGY 5N
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2527
Mailing Address - Country:US
Mailing Address - Phone:952-993-3708
Mailing Address - Fax:952-993-1962
Practice Address - Street 1:3800 PARK NICOLLET BLVD
Practice Address - Street 2:ADULT ENDOCRINOLOGY 5N
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2527
Practice Address - Country:US
Practice Address - Phone:952-993-3708
Practice Address - Fax:952-993-1962
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2011-06-28
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Provider Licenses
StateLicense IDTaxonomies
MN48781207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine