LONGEVITY WEIGHT WELLNESS PLLC NPI 1588568505

NPI Information

  • NPI: 1588568505
  • Provider Name: LONGEVITY WEIGHT WELLNESS PLLC
  • Classification: Family Medicine - 207QB0002X
  • Specialization: Obesity Medicine
  • Entity Type: Organization
  • :
  • Address: 6600 FRANCE AVE S STE 605
    EDINA, MN
    ZIP 55435
  • Phone: (612) 564-0783

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NPI Details

LONGEVITY WEIGHT WELLNESS PLLC is an obesity medicine family medicine in Edina, MN. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. LONGEVITY WEIGHT WELLNESS PLLC NPI is 1588568505. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

6600 FRANCE AVE S STE 605
EDINA, MN
ZIP 55435-807
Phone: (612) 564-0783

The provider's authorized official is Natalie Louise Ikeman .
The authorized official title is Ceo and has the following contact phone number (612) 564-0783.

The enumeration date for this NPI number is 10/5/2026 and was last updated on 10/23/2026.

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
1207QB0002XFamily MedicineObesity MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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