Healthcare Provider Details

I. General information

NPI: 1609831205
Provider Name (Legal Business Name): CHRISTOPHER A. FOLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 FRANCE AVE S SUITE W440
EDINA MN
55435-2163
US

IV. Provider business mailing address

6405 FRANCE AVE S SUITE W440
EDINA MN
55435-2163
US

V. Phone/Fax

Practice location:
  • Phone: 952-929-6994
  • Fax: 952-345-0204
Mailing address:
  • Phone: 952-927-7004
  • Fax: 952-927-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number39330
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: