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Southdale Otolaryngology PA

Otolaryngology Physician in Edina, MN · enumerated 2006 · authorized official Robert Rosenberg, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528131380

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Registry record

Entity type Organization (Type 2)
Legal business name Southdale Otolaryngology PA
Practice address 7373 France Avenue S, Ste 302, Edina, MN, 55435
Phone (952) 896-3166
Fax (952) 896-9853
Enumeration date Nov 17, 2006
Last updated in NPPES Jun 6, 2011

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License PF128 (MN) Primary

Authorized official

Name Robert Rosenberg
Title President
Phone (952) 896-3166

Other identifiers

Identifier Type State Issuer
20401006 Other - METROPOLITAN HEALTH PLAN
465510900 Medicaid MN -
179 Other - HEALTH PARTNERS
CT0375 Other - RR MEDICARE
D669 Other - UCARE
120554 Other - UCARE
16625SO Other - BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southdale Otolaryngology PA located?
The practice location on file with NPPES is in Edina, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-06-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-06.