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Organization

EDINA SPORTS HEALTH & WELLNESS, PA

Active
Other names
Edina Sports and Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
ROCHELLE R. TAUBE MD (OWNER)
(952) 926-6489
Entity
Organization

Contact information

Practice address
7701 YORK AVE S STE 300, EDINA, MN 55435-5864
(952) 926-6489
(952) 926-6501
Mailing address
7701 YORK AVE S STE 300, EDINA, MN 55435-5864
(952) 926-6489
(952) 926-6501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37465
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
550095800
MN
Enumeration date
10/23/2006
Last updated
01/24/2022
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