Healthcare Provider Details
I. General information
NPI: 1609797422
Provider Name (Legal Business Name): BIOHARMONY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7250 METRO BLVD STE 100
EDINA MN
55439-2145
US
IV. Provider business mailing address
7250 METRO BLVD STE 100
EDINA MN
55439-2145
US
V. Phone/Fax
- Phone: 612-778-6240
- Fax: 612-435-4947
- Phone: 612-778-6240
- Fax: 612-435-4947
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLY
CASSERLY
Title or Position: OB/GYN, CO-CEO
Credential: DO
Phone: 612-333-4822