Individual
DR. EDMOND COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
CENTER FOR SEXUAL HEALTH, 1300 SECOND AVE SOUTH, SUITE 180, MINNEAPOLIS, MN 55455
(612) 625-1500
Mailing address
CENTER FOR SEXUAL HEALTH, 1300 SECOND AVE SOUTH, SUITE 180, MINNEAPOLIS, MN 55455
(612) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007665
PREFERRED ONE
MN
01
—
26G15CO
BCBS
MN
01
—
61-94400
MEDICA CHOICE
MN
05
—
806247100
—
MN
01
—
HP28737
HEALTHPARTNERS
MN
Enumeration date
06/29/2006
Last updated
06/28/2022
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