Organization · Type 2 NPI

Minnesota Vascular Clinic, PLLC

Vascular Surgery Physician · Edina, MN

NPI number 1174554653 Active

Practice location

6405 France Ave S, Suite W440
Edina, MN 55435-2163

Mailing address

4570 W 77th St, Suite 235
Edina, MN 55435-5008

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X1655 (MN)
Radiology Clinic/Center 261QR0200X1655 (MN)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

75 other providers at this address

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About NPI 1174554653

Minnesota Vascular Clinic, PLLC's National Provider Identifier is 1174554653, issued on Jul 5, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Edina, MN. The record was last updated on Sep 11, 2025.