OrganizationActive
Southdale Allergy and Asthma Clinic, LLC
NPI 1477680718 · Allergy & Immunology Physician · Minneapolis, MN
Provider details
- NPI number
- 1477680718
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pauline Schindeldecker, Office Manager(952) 926-7630
- License
- 23905 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4010 W 65th St
#221
Minneapolis, MN 55435-1721
Phone: (952) 926-7630
Fax: (952) 926-2116
Approximate (ZIP-level) locationGet directions
Mailing address
4010 W 65th St
Minneapolis, MN 55435-1721
Registry dates
- Enumerated
- 2007-02-27
- 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.