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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CODY D. TIDWELL, MD

Active Sole Proprietor

CODY D. TIDWELL, MD is a Pain Medicine (Anesthesiology) healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1033672837 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · MINNEAPOLIS, MN

Registration Details

NPI Number
1033672837
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2019 (7.3273655439125 yrs)
Last Updated
Mar 26, 2025
Licenses
13284677-1205 (UT)
13284677-1205 (UT)
77909 (MN)
Sole Proprietor
Yes

Practice Information

Address
420 DELAWARE ST SE
MINNEAPOLIS, MN, 554550341
Browse MN providers · Browse ZIP 55455
Phone
6126254116
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X

Other Pain Medicine (Anesthesiology) Providers in MINNEAPOLIS, MN

Name Credential NPI
DR. GORDON ALAN BEARDWOOD MD 1316938038
RANJIT NARAN RAMJI KESHA MBBS 1538131552
DR. ANGELITO AURE SAJOR M.D. 1164519955
DR. VASUDHA GOEL MBBS 1104091834
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.