IndividualActive
Edwin Funk
NPI 1922083799 · Occupational Medicine Physician · St Louis Park, MN
Provider details
- NPI number
- 1922083799
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 25986 (MN)
Practice location
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3025
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.