Organization
PDR SOUTHDALE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD WALLACE GINKEL D.C. (PRESIDENT/OWNER)
(952) 908-2700
Entity
Organization
Contact information
Practice address
3400 W 66TH ST, SUITE 450, EDINA, MN 55435-2111
(952) 908-2700
Mailing address
11822 BREN RD, MINNETONKA, MN 55343-9464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
MN
208100000X
Physical Medicine & Rehabilitation Physician
—
MN
208D00000X
General Practice Physician
—
MN
225100000X
Physical Therapist
—
MN
225X00000X
Occupational Therapist
Primary
—
MN
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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