EDEN PRAIRIE CLINIC PA NPI 1437459211

NPI Information

EDEN PRAIRIE CLINIC, PA is a family medicine in Bloomington, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDEN PRAIRIE CLINIC, PA NPI is 1437459211. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9358 ENSIGN AVE S
SUITE C
BLOOMINGTON, MN
ZIP 55438-472
Phone: (952) 944-6989

The provider's authorized official is Radha Krishna Kumar .
The authorized official title is Owner and has the following contact phone number (952) 944-6989.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 10/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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