# MINNESOTA ORTHOPEDICS PA

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

## Provider details

- **NPI number:** 1457385346
- **Authorized official:** DR. PAUL ALLEN CEDERBERG MD (PRESIDENT)
- **Authorized official phone:** (952) 952-2388

## Contact information

- **Practice address:** 6490 EXCELSIOR BLVD, STE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
- **Practice address phone:** (952) 925-2388
- **Practice address fax:** (952) 925-0743
- **Mailing address:** 6490 EXCELSIOR BLVD, STE W417 MEADOWBROOK MEDICAL BUILDING, ST LOUIS PARK, MN 55426-4705
- **Mailing address phone:** (952) 925-2388
- **Mailing address fax:** (952) 925-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0R0607 | PREFERRED ONE CORPORATE | — |
| 01 | — | 3D553MI | BLUE CROSS BLUE SHIELD | MN |