# EDINA PHYSICAL MEDICINE CONSULTANTS, PA

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

## Provider details

- **NPI number:** 1285967315
- **Authorized official:** DR. TODD GUNNAR HOLMES MD (PRESIDENT)
- **Authorized official phone:** (612) 940-8421

## Contact information

- **Practice address:** 5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
- **Practice address phone:** (952) 922-2012
- **Practice address fax:** (952) 922-2013
- **Mailing address:** 5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
- **Mailing address phone:** (952) 922-2012
- **Mailing address fax:** (952) 922-2013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 28937 | MN | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 02/04/2012