| Southdale Internal Medicine Pa | |
|
6545 France Avenue South Suite 510 Edina MN 55435 | |
| (952) 927-7079 | |
| (952) 920-9758 |
| Full Name | Southdale Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6545 France Avenue South, Edina, Minnesota |
| Authorized Official Name and Position | Gary L Brunkow (PHYSICIAN SENIOR PARTNER) |
| Authorized Official Contact | 9529277079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southdale Internal Medicine Pa 6545 France Avenue South Suite 510 Edina MN 55435 Ph: (952) 927-7079 | Southdale Internal Medicine Pa 6545 France Avenue South Suite 510 Edina MN 55435 Ph: (952) 927-7079 |
| NPI Number | 1346207149 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346207149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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