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Contact Information

BRIAN D AMDAHL, MD
1600 SAINT JOHNS BLVD
SUITE 201
MAPLEWOOD, MN55109-1183
 Phone: 651-779-9322
 Fax: 651-779-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN D AMDAHL · (Male)

NPI # 1609829357
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 33382
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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