Cody Daniel Tidwell, MD is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Cody Daniel Tidwell, MD NPI is 1033672837. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455-341
Phone: (612) 625-4116
The NPI 1033672837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/9/2019 and was last updated on 4/9/2019.