| Edina Family Physicians | |
|
5301 Vernon Ave S Edina MN 55436-2303 | |
| (952) 925-2200 | |
| (952) 925-0335 |
| Full Name | Edina Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 5301 Vernon Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Linda Mae Odell Cowles (ADMININSTRATOR) |
| Authorized Official Contact | 9523452210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edina Family Physicians 5301 Vernon Ave S Edina MN 55436-2303 Ph: (952) 925-2200 | Edina Family Physicians 5301 Vernon Ave S Edina MN 55436-2303 Ph: (952) 925-2200 |
| NPI Number | 1144258849 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144258849 | NPI | - | NPPES |
| 148010300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 604 (Minnesota) | Primary |
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