# MINNESOTA VASCULAR CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174554653
- **Authorized official:** DR. ANDREW CRAGG M.D. (SHAREHOLDER)
- **Authorized official phone:** (952) 837-9700

## Contact information

- **Practice address:** 6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435-2163
- **Practice address phone:** (952) 927-7004
- **Mailing address:** 4570 W 77TH ST, SUITE 235, EDINA, MN 55435-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 1655 | MN | Yes |
| 261QR0200X | Radiology Clinic/Center | 1655 | MN | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 09/11/2025