Minnesota Vascular Clinic, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

1655 Issued in MN

Legal business name

MINNESOTA VASCULAR CLINIC, PLLC

Practice address

6405 France Ave S
Suite W440
Edina, MN 55435-2163

Phone

(952) 927-7004

NPI assigned

Jul 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Cragg, M.D.

Title

Shareholder

Phone

(952) 837-9700

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174554653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST",
            "address_2": "SUITE 235",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W440",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-927-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VASCULAR CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRAGG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "952-837-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "1655",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MN",
            "license": "1655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Edina, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.