DR. Blake Ryan Tidwell, MD

NPI #1013598408 in Minneapolis, Minnesota

Provider Information

NPI Number: 1013598408
Entity Type: Individual
Name: DR. Blake Ryan Tidwell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 16, 2021
Last Updated: Dec 17, 2025

Practice Location

Address: 2925 CHICAGO AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55407-1321
Phone: (612) 863-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

Additional Practice Locations

420 Delaware St SE

Minneapolis, MN, 55455-0341

(612) 626-5454

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