Individual
BRIAN MICHAEL IDELKOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 W 66TH ST STE 385, EDINA, MN 55435-2197
(952) 920-2761
(952) 920-0383
Mailing address
3400 W 66TH ST STE 385, EDINA, MN 55435-2197
(952) 920-2761
(952) 920-0383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52793
MN
Other
Enumeration date
02/03/2009
Last updated
07/07/2010
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