Organization
EDINA PHYSICAL MEDICINE CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GUNNAR HOLMES MD (PRESIDENT)
(612) 940-8421
Entity
Organization
Contact information
Practice address
5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
(952) 922-2012
(952) 922-2013
Mailing address
5001 AMERICAN BLVD W, STE 395, BLOOMINGTON, MN 55437-1108
(952) 922-2012
(952) 922-2013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28937
MN
Other
Enumeration date
09/08/2009
Last updated
02/04/2012
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