Individual
ANNE RODEKUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433
(763) 712-2100
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-8693
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2033758
MN
363LF0000X
Family Nurse Practitioner
Primary
2033758
MN
Other
Enumeration date
05/02/2018
Last updated
07/20/2018
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