Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Vascular Clinic, PLLC

Organization Vascular Surgery Physician · NPI 1174554653

Minnesota Vascular Clinic, PLLC is a Vascular Surgery Physician in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6405 France Ave S Ste W440
Edina, MN 55435-2163
Phone: (952) 927-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 1655 (MN)
Radiology Clinic/Center Taxonomy 261QR0200X · Licence 1655 (MN)

Record details

NPI number1174554653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cragg — Shareholder · (952) 837-9700
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4570 W 77th St, Suite 235, Edina, MN 55435-5008

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