Edwardson, Phillip L.

Edwardson, Phillip L. is an individual health care provider with primary practice located at 3100 W Lake St Suite 210, Minneapolis MN 55416-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Edwardson, Phillip L. can be contacted via phone (612) 925-6033.

Contact Information

Primary practice address
3100 W Lake St Suite 210 Minneapolis MN 55416-4527
Phone: (612) 925-6033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 19329 Minnesota

Profile Details

NPI number 1891862389
LBN Legal business name Edwardson, Phillip L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891862389 NPPES
Minnesota Other 830593500 MEDICAL ASSISTANCE

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