Individual
ANNE G MINENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB SIXTH FLOOR, CLINIC 6A, MINNEAPOLIS, MN 55455-0356
(612) 625-8690
Mailing address
420 DELAWARE STREET SE, MMC 108, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-8690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42698
MN
207RR0500X
Rheumatology Physician
Primary
42698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010905300
—
MN
01
—
1023931
PREFERRED ONE
MN
01
—
1031133
ARAZ
MN
01
—
1031133
ARAZ
—
01
—
127830
UCARE
MN
01
—
32-00003
MEDICA PRIMARY
MN
01
—
32-00055
MEDICA CHOICE
MN
05
—
34012200
—
WI
01
—
77R66MI
BLUE CROSS BLUE SHIELD
MN
01
—
HP31270
HEALTH PARTNERS
MN
Enumeration date
09/22/2006
Last updated
07/31/2007
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