Individual
MARTHA RUTH ENGELBREKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14001 RIDGEDALE DR, SUITE 100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR, SUITE 100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47901
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283607600
—
MN
Enumeration date
02/07/2006
Last updated
08/09/2012
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