Provider Demographics
NPI:1447443932
Name:RICHARDSON, ADRIENNE L (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:L
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2635 UNIVERSITY AVE W STE 160
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1271
Practice Address - Country:US
Practice Address - Phone:651-254-3500
Practice Address - Fax:651-254-2579
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2021-03-25
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Provider Licenses
StateLicense IDTaxonomies
MN53165207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology