Pdr Southdale, Inc in Edina - General Practice
Pdr Southdale, Inc - NPI 1073626008
Pdr Southdale, Inc is a General Practice in Edina, Minnesota. Pdr Southdale, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdr Southdale, Inc is 1073626008. The last update date is 2020-08-22.
Pdr Southdale, Inc's current location address is 3400 W 66th St, Edina, Minnesota. You can contact this provider via phone number 9529082700. The mailing address for Pdr Southdale, Inc is 3400 W 66th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdr Southdale, Inc |
|---|---|
| Address | 3400 W 66th St, Edina, Minnesota |
| Phone Number | 9529082700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ginkel Wallace Todd |
| Credentials | D.C. |
| Telephone Number | 9529082700 |
NPI Number Detail
| NPI Number | 1073626008 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3400 W 66th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554352111 |
| Phone Number | 9529082700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pdr Southdale, Inc by the Centers for Medicare & Medicaid Services?
The Pdr Southdale, Inc has been assigned the NPI (National Provider Identifier) 1073626008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Pdr Southdale, Inc is physically located?
The Pdr Southdale, Inc is situated at the following address: 3400 W 66Th St, Edina, MN 554352111.
What is Pdr Southdale, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pdr Southdale, Inc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073626008 to Pdr Southdale, Inc?
The Pdr Southdale, Inc received its 1073626008 assignment from the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information regarding Pdr Southdale, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pdr Southdale, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.