IndividualActive
Nicholas Edwards, MD MPH
NPI 1215992292 · Pediatric Sports Medicine Physician · Woodbury, MN
Provider details
- NPI number
- 1215992292
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 47394 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
155 Radio Dr
Woodbury, MN 55125-2619
Phone: (952) 831-8742
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.