MINNESOTA VASCULAR CLINIC PLLC NPI 1174554653

NPI Information

NPI: 1174554653
Provider Name: MINNESOTA VASCULAR CLINIC, PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6405 FRANCE AVE S
SUITE W440
EDINA, MN
ZIP 55435
Phone: (952) 927-7004
Get Directions

MINNESOTA VASCULAR CLINIC, PLLC is a vascular surgery surgery in Edina, MN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MINNESOTA VASCULAR CLINIC, PLLC NPI is 1174554653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6405 FRANCE AVE S
SUITE W440
EDINA, MN
ZIP 55435-163
Phone: (952) 927-7004

The provider's authorized official is Andrew Cragg .
The authorized official title is Shareholder and has the following contact phone number (952) 837-9700.

The enumeration date for this NPI number is 7/5/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	1655	MINNESOTA	Yes
2	261QR0200X	Clinic/Center	Radiology	1655	MINNESOTA	X

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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