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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS M EDWARDS, MD MPH

Active

NICHOLAS M EDWARDS, MD MPH is a Sports Medicine (Pediatrics) healthcare provider located in WOODBURY, Minnesota. NPI 1215992292 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Pediatrics) · WOODBURY, MN

Registration Details

NPI Number
1215992292
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2006 (20.276248711775 yrs)
Last Updated
Jun 12, 2023
Licenses
47394 (WI)
35.094808 (OH)
48608 (MN)

Practice Information

Address
155 RADIO DR
WOODBURY, MN, 551252619
Browse MN providers · Browse ZIP 55125
Phone
9528318742
Primary Specialty
Sports Medicine (Pediatrics)
2080S0010X
Additional Specialty
Sports Medicine (Pediatrics)
Additional Specialty
Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.