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

Southdale Digestive Diseases, PA

Organization Internal Medicine Physician · NPI 1487838918

Southdale Digestive Diseases, PA is an Internal Medicine Physician in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7901 Xerxes Ave S
Bloomington, MN 55431-1253
Phone: (952) 920-2453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 017877 (MN)

Record details

NPI number1487838918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Tanghe — Md · (763) 416-0799
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing address5705 Parkwood Ln, Edina, MN 55436-1731

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