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

John R Liddicoat, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1750579694

John R Liddicoat, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Minneapolis, Minnesota. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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

7601 Northland Dr N
Minneapolis, MN 55428-4500
Phone: (763) 360-7961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 209670 (MA)

Record details

NPI number1750579694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007
Mailing address2208 Oliver Ave S, Minneapolis, MN 55405-2441

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