OrganizationActive
Minnesota Vascular Clinic, PLLC
NPI 1174554653 · Vascular Surgery Physician · Edina, MN
Provider details
- NPI number
- 1174554653
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Cragg, Shareholder(952) 837-9700
- License
- 1655 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
6405 France Ave S
Suite W440
Edina, MN 55435-2163
Phone: (952) 927-7004
Approximate (ZIP-level) locationGet directions
Mailing address
4570 W 77th St
Edina, MN 55435-5008
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.