Edwin H Funk, | |
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3025 | |
Not Available |
Full Name | Edwin H Funk |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 3850 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922083799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25986 (Minnesota) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 25986 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Edwin H Funk, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Edwin H Funk, 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3025 |
Dr. Victor C Van Hee, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1000 | |
Dr. John Galin Sandness, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Park Center Blvd, Suite 311, St Louis Park, MN 55416 Phone: 952-922-2012 | |
Dr. Ken Ujifusa, PSY.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2500 Fax: 952-541-2539 | |
Paul Joseph Anderson Ii, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
Robert J Gorman, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 5100 Gamble Dr Suite 100-mail Stop 31200a, Healthpartners West Clinic, St Louis Park, MN 55416 Phone: 952-541-2500 Fax: 952-595-6455 |