Individual
EDGAR AUSTRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 835-4403
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 835-4403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60388
MN MEDICAL LICENSE
MN
Enumeration date
04/15/2013
Last updated
12/08/2025
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