Provider Demographics
NPI:1043260557
Name:SALDANA, EDGAR F (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:F
Last Name:SALDANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W SUPERIOR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1763
Mailing Address - Country:US
Mailing Address - Phone:218-215-8990
Mailing Address - Fax:
Practice Address - Street 1:324 W SUPERIOR ST STE 100
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1763
Practice Address - Country:US
Practice Address - Phone:218-215-8990
Practice Address - Fax:218-217-4371
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43234208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN407624900Medicaid
MN407624900Medicaid