Individual
BRIAN EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 AMERICAN BLVD W, STE 200, BLOOMINGTON, MN 55431-4420
(952) 831-8742
(952) 831-1626
Mailing address
3800 AMERICAN BLVD W, STE 200, BLOOMINGTON, MN 55431-4420
(952) 831-8742
(952) 831-1626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9381
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
8711
MN
Other
Enumeration date
07/06/2011
Last updated
07/16/2013
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