IndividualActive
Douglas Tate, M.D.
NPI 1659395283 · Pediatric Adolescent Medicine Physician · Edina, MN
Provider details
- NPI number
- 1659395283
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26159 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6545 France Ave S
Suite 400
Edina, MN 55435-2131
Phone: (952) 920-9191
Fax: (952) 920-0232
Approximate (ZIP-level) locationGet directions
Mailing address
6545 France Ave S
Edina, MN 55435-2131
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.