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

Southdale Medical Partners Corporation

Organization Family Medicine Physician · NPI 1043898778

Southdale Medical Partners Corporation is a Family Medicine Physician in Oakdale, Minnesota. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

902 Inwood Ave N Ste 902
Oakdale, MN 55128-6625
Phone: (952) 999-4049
Show map & directions

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

Additional practice locations (1)

  • 6565 France Ave S Ste 350, Edina, MN 55435-2159 — (952) 999-4049

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1043898778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Brandt — Administrator · (612) 961-4322
NPI enumeratedApril 1, 2021
Last updated in NPPESMay 3, 2023
Certification dateJanuary 12, 2023
Mailing address902 Inwood Ave N, Saint Paul, MN 55128-6625

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