Individual
DR. BRUCE IRA IDELKOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22536
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265008
PREFERRED ONE
MN
01
—
0501641
MEDICA
MN
01
—
07620ID
BCBS OF MN
MN
01
—
100288C029
UCARE
MN
01
—
130005771
RAILROAD MEDICARE
MN
01
—
25828
AMERICA'S PPO
MN
05
—
30203900
—
MN
05
—
489092200
—
MN
01
—
HP13585
HEALTHPARTNERS
MN
Enumeration date
05/28/2006
Last updated
12/02/2011
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