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

Phillip L. Edwardson, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1891862389

Phillip L. Edwardson, MD is a Child & Adolescent Psychiatry Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

3100 W Lake St Ste 210
Minneapolis, MN 55416-4527
Phone: (612) 925-6033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 19329 (MN)

Record details

NPI number1891862389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESDecember 20, 2013
Mailing address3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527

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