NPI 1306286786 · live from the CMS NPI Registry
Michael Edzards, M.D.
Pediatrics, Pediatric Infectious Diseases in Minneapolis, MN. National Provider Identifier 1306286786, active.
NPI record
| NPI | 1306286786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Infectious Diseases 2080P0208X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 612-813-6107 |
| Enumerated | June 28, 2013 |
| Last updated | July 31, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | TRN19373 (FL) |
| Pediatrics, Pediatric Infectious Diseases primary | 2080P0208X | 66071 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.