Individual
DR. EMMA IDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-4233
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 863-4233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76872
MN
Other
Enumeration date
04/05/2021
Last updated
07/30/2024
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