Individual
ANNE M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
46158
WI
2085R0202X
Diagnostic Radiology Physician
Primary
50320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161312
UCARE
MN
01
—
1659340180
MEDICA
MN
05
—
1659340180
—
IA
05
—
34440100
—
WI
01
—
37M86RE
BLUE CROSS AND BLUE SHIELD OF MINNESOTA
MN
05
—
520049100
—
MN
01
—
54R74RE
BLUE CROSS AND BLUE SHIELD OF MN
MN
01
—
943381052811
PREFERRED ONE
MN
01
—
960371052811
PREFERRED ONE
MN
01
—
HP79273
HEALTHPARTNERS
MN
Enumeration date
03/16/2006
Last updated
07/21/2021
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