OrganizationActive
Geriatric & General Psychiatry
NPI 1114020641 · Geriatric Psychiatry Physician · Edina, MN
Provider details
- NPI number
- 1114020641
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Callahan, Owner(952) 920-6748
- License
- 23237 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6525 Drew Ave S
Edina, MN 55435
Phone: (952) 920-6748
Fax: (952) 920-3863
Approximate (ZIP-level) locationGet directions
Mailing address
6525 Drew Ave S
Edina, MN 55435
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2008-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.