Organization
MORNINGSIDE FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ALDEN SIDELL M. (PRESIDENT)
(952) 926-3002
Entity
Organization
Contact information
Practice address
3920 SUNNYSIDE RD, EDINA, MN 55424-1211
(952) 926-3002
(952) 926-7744
Mailing address
3920 SUNNYSIDE RD, EDINA, MN 55424-1211
(952) 926-3002
(952) 926-7744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
31011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001827
MEDICARE ID
MO
Enumeration date
02/17/2010
Last updated
02/17/2010
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