Unknown Individual – Internal Medicine Physician, NPI 1891791364
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States
STE 3400
EDINA, MN 554352111
Phone: (952) 920-2761
Mailing address matches the actual address.
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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