Healthcare Provider Details

I. General information

NPI: 1427608579
Provider Name (Legal Business Name): EMMA MARGARET LANDGRAF MD, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA MARGARET LANKEY MD ,RDN

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 FRANCE AVE S STE 300
EDINA MN
55435-1803
US

IV. Provider business mailing address

6600 FRANCE AVE S STE 300
EDINA MN
55435-1803
US

V. Phone/Fax

Practice location:
  • Phone: 952-278-7000
  • Fax:
Mailing address:
  • Phone: 952-278-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number82129
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: