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

Dr. Anthony Victor Edholm, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740741776

Dr. Anthony Victor Edholm, MD is an Emergency Medicine in Bloomington, Minnesota. Qualified in 2018, 8 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 857-1554
Show map & directions

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

Additional practice locations (1)

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 — (551) 996-2000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 71474 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740741776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2019
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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