Individual
ANDREW E EDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3680
(507) 457-7672
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3680
(507) 457-7672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16719
MN
207R00000X
Internal Medicine Physician
19264-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283277100
—
MN
Enumeration date
08/23/2006
Last updated
12/29/2015
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