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DIAMOND WOMEN'S CENTER P.A. NPI 1790873412


NPI Information

NPI: 1790873412
Provider Name: DIAMOND WOMEN'S CENTER, P.A.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 24D0663828

Address:
6545 FRANCE AVE S
SUITE 540
EDINA, MN
ZIP 55435
Phone: (952) 927-4045
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DIAMOND WOMEN'S CENTER, P.A. is an obstetrics gynecology in Edina, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DIAMOND WOMEN'S CENTER, P.A. NPI is 1790873412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6545 FRANCE AVE S
SUITE 540
EDINA, MN
ZIP 55435-131
Phone: (952) 927-4045
Fax: (952) 924-4133

The provider's authorized official is 0patricia A Burgraff .
The authorized official title is Administrator and has the following contact phone number (952) 928-3677.

The CLIA number assigned to this NPI record is 24D0663828 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FP100OTHERMINNESOTAPREFFERED ONE PROVIDER #
2806OTHERMINNESOTAHEALTPARTNERS PROV #
303451DIOTHERMINNESOTABCBS PROVIDER #
4103752OTHERMINNESOTAUCARE CLINIC PROVIDER #
5CP4302OTHERMINNESOTAMEDICARE RR PALMETTO #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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