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

Southdale Internal Medicine PA

Organization Internal Medicine Physician · NPI 1346207149

Southdale Internal Medicine PA is an Internal Medicine Physician in Edina, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
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

6545 France Ave S Ste 510
Edina, MN 55435
Phone: (952) 927-7079
Fax: (952) 920-9758
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1346207149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Brunkow — Physician Senior Partner · (952) 927-7079
NPI enumeratedApril 27, 2006
Last updated in NPPESDecember 28, 2015
Mailing address6545 France Avenue South, Suite 510, Edina, MN 55435

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