Whalio Doctors

NPI 1922083799

Edwin H Funk

Practitioner Occupational Medicine Physician St Louis Park, MN

Practice location

Address
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone
(952) 993-3025
Mailing address
8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 25986 (MN)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25986 (MN)

Registry record

NPI
1922083799
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2005
Record last updated
20 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.