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

Southdale Allergy and Asthma Clinic, LLC

Organization Allergy & Immunology Physician · NPI 1477680718

Southdale Allergy and Asthma Clinic, LLC is an Allergy & Immunology Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 W 65th St #221
Minneapolis, MN 55435-1721
Phone: (952) 926-7630
Fax: (952) 926-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 23905 (MN)

Record details

NPI number1477680718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pauline Schindeldecker — Office Manager · (952) 926-7630
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4010 W 65th St, 221, Minneapolis, MN 55435-1721

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