Individual
DR. ARUN IDICULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST STE 1750, MINNEAPOLIS, MN 55407-3723
(612) 863-4495
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
64536
MN
Other
Enumeration date
04/29/2014
Last updated
09/24/2018
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