MORNINGSIDE FAMILY PHYSICIANS NPI 1992027007

NPI Information

MORNINGSIDE FAMILY PHYSICIANS is a clinic center in Edina, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MORNINGSIDE FAMILY PHYSICIANS NPI is 1992027007. The provider is registered as an organization entity type.

The provider's business location address is:

3920 SUNNYSIDE RD
EDINA, MN
ZIP 55424-211
Phone: (952) 926-3002
Fax: (952) 926-7744

The provider's authorized official is Philip Alden Sidell .
The authorized official title is President and has the following contact phone number (952) 926-3002.

The CLIA number assigned to this NPI record is 24D0402512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 2/17/2010.

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:

Other Identifiers

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

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