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Organization
EDINA PHYSICAL MEDICINE CONSULTANTS, PA
Active
Organization
EDINA PHYSICAL MEDICINE CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GUNNAR HOLMES MD (PRESIDENT)
(612) 940-8421
Entity
Organization
Contact information
Practice address
5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
(952) 922-2012
(952) 922-2013
Mailing address
5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
(952) 922-2012
(952) 922-2013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28937
MN
Other
Enumeration date
09/08/2009
Last updated
02/04/2012
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