Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredrick Bruce Blaisdell, MD

Individual provider Family Medicine Physician · NPI 1437845187

Fredrick Bruce Blaisdell, MD is a Family Practice in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1542 Golf Course Rd Ste 203
Grand Rapids, MN 55744-3557
Phone: (218) 322-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77871 (MN)

Record details

NPI number1437845187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1542 Golf Course Rd Ste 203, Grand Rapids, MN 55744-3557

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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