Individual
MARTHA ANNE IDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1528 NORTHWAY DR, SAINT CLOUD, MN 56303-1287
(320) 252-0233
(320) 252-1421
Mailing address
1528 NORTHWAY DR, SAINT CLOUD, MN 56303-1287
(320) 252-0233
(320) 252-1421
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LICC-4086
MN
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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