# LYMPHEDEMA&PHYSICAL MEDICINE SERVICES PA

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

## Provider details

- **NPI number:** 1871710947
- **Authorized official:** DR. SANDRA ROSENBERG MD (PRESIDENT)
- **Authorized official phone:** (651) 451-5949

## Contact information

- **Practice address:** 17 EXCHANGE ST W, SUITE 600, SAINT PAUL, MN 55102-1045
- **Practice address phone:** (651) 232-2550
- **Mailing address:** 1558 PARK CIR, MENDOTA HEIGHTS, MN 55118-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1522 | MN | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020