John R Liddicoat, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Minneapolis, MN

John R Liddicoat, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Minneapolis, Minnesota. John R Liddicoat is licensed to practice in Massachusetts (license number 209670) and his current practice location is 7601 Northland Dr N, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 360-7961.

NPI number for John R Liddicoat is 1750579694 and his current mailing address is 2208 Oliver Ave S, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750579694.

Contact Information

John R Liddicoat, MD
7601 Northland Dr N,
Minneapolis, MN 55428-4500
(763) 360-7961
Not Available

Map and Direction




Physician's Profile

Full NameJohn R Liddicoat
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location7601 Northland Dr N, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750579694
  • Provider Enumeration Date: 10/04/2007
  • Last Update Date: 10/04/2007

Medical Identifiers

Medical identifiers for John R Liddicoat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750579694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 209670 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John R Liddicoat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John R Liddicoat, MD
2208 Oliver Ave S,
Minneapolis, MN 55405-2441

Ph: (763) 360-7961
John R Liddicoat, MD
7601 Northland Dr N,
Minneapolis, MN 55428-4500

Ph: (763) 360-7961

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Minneapolis, MN

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Practice Location: 920 E 28th St, Ste. 610, Minneapolis, MN 55407
Phone: 612-863-6900    
Sebastian Alejandro Iturra Urriola, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407
Phone: 612-863-3900    

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