# VASCULAR & INTERVENTIONAL PHYSICIANS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205632643
- **Authorized official:** MICHAEL JAMES CUMMING MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (612) 743-9691

## Contact information

- **Practice address:** 4254 QUEEN AVE S, MINNEAPOLIS, MN 55410-1614
- **Practice address phone:** (612) 743-9691
- **Mailing address:** 4254 QUEEN AVE S, MINNEAPOLIS, MN 55410-1614
- **Mailing address phone:** (612) 743-9691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 04/09/2025