Organization
EDINA FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MAE ODELL COWLES BSM, MA (ADMININSTRATOR)
(952) 345-2210
Entity
Organization
Contact information
Practice address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
(952) 925-0335
Mailing address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
(952) 925-3450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148010300
—
MN
Enumeration date
06/29/2006
Last updated
08/17/2011
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