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Individual

JOHN P EDWARDS

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1885 PLAZA DR, EAGAN, MN 55122-2612
(952) 993-4001
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28346
MN

Other

Enumeration date
12/08/2005
Last updated
07/08/2007
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