| Morningside Family Physicians | |
|
3920 Sunnyside Rd Edina MN 55424-1211 | |
| (952) 926-3002 | |
| (952) 926-7744 |
| Full Name | Morningside Family Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 3920 Sunnyside Rd, Edina, Minnesota |
| Authorized Official Name and Position | Philip Alden Sidell (PRESIDENT) |
| Authorized Official Contact | 9529263002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morningside Family Physicians 3920 Sunnyside Rd Edina MN 55424-1211 Ph: (952) 926-3002 | Morningside Family Physicians 3920 Sunnyside Rd Edina MN 55424-1211 Ph: (952) 926-3002 |
| NPI Number | 1992027007 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 8921135757 |
|---|---|
| Medicare Enrollment ID | O20100427000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992027007 | NPI | - | NPPES |
| 080001827 | Other | MO | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 31011 (Minnesota) | Primary |
| Provider Name | Philip Alden Sidell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982759288 PECOS PAC ID: 2466589296 Enrollment ID: I20100427000339 |
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