| NPI | 1215010335 |
|---|---|
| Doing Business As | EDINA SPORTS AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE R. TAUBE Owner 952-926-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 37465) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-01-24 |