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SOUTHDALE INTERNAL MEDICINE PA
NPI 1346207149
Internal Medicine in Edina, MN

Active since April 27, 2006
6545 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN 55435(952) 927-7079(952) 920-9758 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southdale Internal Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHDALE INTERNAL MEDICINE PA (NPI 1346207149) is a healthcare organization registered as an internal medicine in Edina, Minnesota and active in the NPI registry since April 2006. The organization lists Gary L Brunkow, Physician Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1346207149
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHDALE INTERNAL MEDICINE PA
Location Address6545 FRANCE AVENUE SOUTH, SUITE 510Edina, MN 55435
Mailing Address6545 France Avenue South, Suite 510Edina, MN 55435 · (952) 927-7079 · Fax (952) 920-9758
Phone(952) 927-7079
Fax(952) 920-9758
Organization SubpartNo
Authorized OfficialGary L BrunkowPhysician Senior Partner · (952) 927-7079
Enumeration DateApril 27, 2006
Last NPPES UpdateDecember 28, 2015
✔ NPI 1346207149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6545 FRANCE AVENUE SOUTH, Edina, MN 55435
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Other Identifiers 1

Medicare ID-Type UnspecifiedC00361MN · Medicare Practice Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MERLIN EMERY BROWN MD
Internal Medicine
6545 FRANCE AVENUE SOUTH, SUITE 510
EDINA, MN 55435
Hennepin County (952) 927-7079
ELISA M WRIGHT MD
Obstetrics & Gynecology
6545 FRANCE AVENUE SOUTH, SUITE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
MARY L MAKI SETRE CNP
Nurse Practitioner (Obstetrics & Gynecology)
6545 FRANCE AVENUE SOUTH, SUITE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
DR. GARY L BRUNKOW MD
Internal Medicine
6545 FRANCE AVENUE SOUTH, SUITE 510
EDINA, MN 55435
Hennepin County (952) 927-7079
JUAN C ANGELATS MD
Obstetrics & Gynecology
6545 FRANCE AVENUE SOUTH, SUITE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
MARY ANNE JACOB MD
Obstetrics & Gynecology
6545 FRANCE AVENUE SOUTH, SUITE 540
EDINA, MN 55435
Hennepin County (952) 927-4045
DR. JACOB CHARLES LISTON MD
Internal Medicine
6545 FRANCE AVENUE SOUTH, SUITE 510
EDINA, MN 55435
Hennepin County (952) 927-7079
DR. DAVID J WALCHER MD
Internal Medicine
6545 FRANCE AVENUE SOUTH, SUITE 510
EDINA, MN 55435
Hennepin County (952) 927-7079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southdale Internal Medicine PA's NPI number?

The NPI number for Southdale Internal Medicine PA is 1346207149. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Southdale Internal Medicine PA located?

Southdale Internal Medicine PA is located at 6545 France Avenue South Suite 510, Edina, MN 55435. The listed phone number is (952) 927-7079.

What is Southdale Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southdale Internal Medicine PA was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.