Healthcare Provider Details

I. General information

NPI: 1225772973
Provider Name (Legal Business Name): ANDREA JEAN ARTHOFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 FRANCE AVE S STE 490
EDINA MN
55435-2123
US

IV. Provider business mailing address

6545 FRANCE AVE S STE 490
EDINA MN
55435-2123
US

V. Phone/Fax

Practice location:
  • Phone: 952-922-7600
  • Fax: 952-345-4448
Mailing address:
  • Phone: 952-922-7600
  • Fax: 952-345-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number82788
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: