Individual
MICHAEL EDZARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6107
(612) 813-7473
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6107
(612) 813-7473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
TRN19373
FL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
66071
MN
Other
Enumeration date
06/28/2013
Last updated
07/31/2019
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