OrganizationActive
Sports and Orthopaedic Specialists, PA
NPI 1194751552 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Edina, MN
Provider details
- NPI number
- 1194751552
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Evans, Operations Manager(952) 946-9777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8100 W 78th St
Suite 225
Edina, MN 55439-2516
Phone: (952) 946-9777
Fax: (952) 946-9888
Approximate (ZIP-level) locationGet directions
Mailing address
8100 W 78th St
Edina, MN 55439-2516
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.