MINNESOTA VASCULAR CLINIC, PLLC – Vascular Surgery Physician, NPI 1174554653

MINNESOTA VASCULAR CLINIC, PLLC is a healthcare provider. based in Edina, Minnesota. specializing in Vascular Surgery Physician. The organization holds a License No. 1655 (MN). The NPI Number for MINNESOTA VASCULAR CLINIC, PLLC is 1174554653

Main info

Organization
Name
MINNESOTA VASCULAR CLINIC, PLLC
NPI
1174554653
Phone
(952) 927-7004
Address
6405 FRANCE AVE S
Authorized Official
DR. ANDREW CRAGG SHAREHOLDER M.D.
Enumeration Date
5 July 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MINNESOTA VASCULAR CLINIC, PLLC

  • 6405, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE W440

    EDINA, MN 554352163

    Phone: (952) 927-7004

    Type: Location

  • 4570, West 77th Street, Pentagon Park, Cahill, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 235

    EDINA, MN 554355008

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Frequently asked questions

How do I look up MINNESOTA VASCULAR CLINIC, PLLC by NPI?
Use NPI 1174554653 when you need to reference MINNESOTA VASCULAR CLINIC, PLLC in forms, claims, or directories.
Is MINNESOTA VASCULAR CLINIC, PLLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MINNESOTA VASCULAR CLINIC, PLLC work in?
You can think of MINNESOTA VASCULAR CLINIC, PLLC as practicing within Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is MINNESOTA VASCULAR CLINIC, PLLC's primary listing?
We display Edina, Minnesota because that is what the record indicates for MINNESOTA VASCULAR CLINIC, PLLC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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