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

Dr. Mara Suzanne Edison, DO

Individual provider Family Medicine Physician · NPI 1154718484

Dr. Mara Suzanne Edison, DO is a Family Practice in Hermantown, Minnesota. Qualified in 2017, 9 years ago. Practices with Polinsky Medical Rehabilitation Center, a 380-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4855 W Arrowhead Rd
Hermantown, MN 55811-3936
Phone: (218) 786-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64087 (MN)

Record details

NPI number1154718484
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address400 E 3rd St, Duluth, MN 55805-1951

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Polinsky Medical Rehabilitation Center — 380 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Hermantown