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SOUTHDALE ALLERGY AND ASTHMA CLINIC, LLC
NPI 1477680718
Allergy & Immunology in Minneapolis, MN

Active since February 27, 2007
4010 W 65TH ST, #221, MINNEAPOLIS, MN 55435(952) 926-7630(952) 926-2116 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southdale Allergy And Asthma Clinic, Llc NPPES

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

SOUTHDALE ALLERGY AND ASTHMA CLINIC, LLC (NPI 1477680718) is a healthcare organization registered as an allergy & immunology in Minneapolis, Minnesota and active in the NPI registry since February 2007. The organization lists Pauline Schindeldecker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477680718
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameSOUTHDALE ALLERGY AND ASTHMA CLINIC, LLC
Location Address4010 W 65TH ST, #221Minneapolis, MN 55435-1721
Mailing Address4010 W 65th St, #221Minneapolis, MN 55435-1721 · (952) 926-7630 · Fax (952) 926-2116
Phone(952) 926-7630
Fax(952) 926-2116
Organization SubpartNo
Authorized OfficialPauline SchindeldeckerOffice Manager · (952) 926-7630
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477680718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in MN · 23905
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

4010 W 65TH ST, Minneapolis, MN 55435
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DAVID BLOOMQUIST ATC
Specialist/Technologist (Athletic Trainer)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (320) 212-3992
AMBER DEGRAFF
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
ANNE R ANDERSON RNFA
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
KELLEY F GROTTING CNP
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
DR. BRIAN PETER BJERKE M.D.
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
MRS. KAITLYN M SOLDAN PA-C, ATC
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
CATHERINE FENLASON SLP
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
DOUGLAS ALBERT DRAKE M.D.
Orthopaedic Surgery (Hand Surgery)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000

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 Allergy And Asthma Clinic, LLC's NPI number?

The NPI number for Southdale Allergy And Asthma Clinic, LLC is 1477680718. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Southdale Allergy And Asthma Clinic, LLC located?

Southdale Allergy And Asthma Clinic, LLC is located at 4010 W 65th St #221, Minneapolis, MN 55435. The listed phone number is (952) 926-7630.

What is Southdale Allergy And Asthma Clinic, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Southdale Allergy And Asthma Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.