Southdale Physicians, LLC

NPI #1124569249 in Edina, Minnesota

Provider Information

NPI Number: 1124569249
Entity Type: Organization
Organization Name: Southdale Physicians, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 9, 2017
Last Updated: Feb 17, 2025

Practice Location

Address: 6565 FRANCE AVE S STE 350
City: Edina
State: Minnesota
ZIP Code: 55435-2137
Phone: (612) 430-8120

Authorized Official

Name: DEREK J DAGENDESH
Title: OFFICE ADMINISTRATOR
Phone: (952) 999-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Internal Medicine	207R00000X	Primary

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