Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longevity Weight Management Clinic

Organization Obesity Medicine (Family Medicine) Physician · NPI 1588568505

Longevity Weight Management Clinic provides Obesity Medicine (Family Medicine) Physician services in Eden Prairie, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

16273 Baywood Ln
Eden Prairie, MN 55346-4302
Phone: (612) 327-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X

Record details

NPI number1588568505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Ikeman — Ceo · (612) 327-2228
NPI enumeratedOctober 5, 2026
Last updated in NPPESOctober 5, 2026
Certification dateSeptember 30, 2026
Mailing address16526 W 78th St Ste 188, Eden Prairie, MN 55346-4302