| Edina Family Physicians | |
|
5203 Vernon Ave S Edina MN 55436-2106 | |
| (952) 925-2200 | |
| Not Available |
| Full Name | Edina Family Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 5203 Vernon Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Dominica Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edina Family Physicians Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Edina Family Physicians 5203 Vernon Ave S Edina MN 55436-2106 Ph: (952) 925-2200 |
| NPI Number | 1720339716 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20130513000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720339716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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