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

Minnesota Vascular Clinic, PLLC

Organization Vascular Surgery Physician · NPI 1174554653

Minnesota Vascular Clinic, PLLC provides Vascular Surgery Physician services in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6405 France Ave S Ste W440
Edina, MN 55435-2163
Phone: (952) 927-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 1655 (MN)
Radiology Clinic/Center Taxonomy 261QR0200X · Licence 1655 (MN)

Record details

NPI number1174554653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cragg — Shareholder · (952) 837-9700
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4570 W 77th St, Suite 235, Edina, MN 55435-5008

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