Individual
DR. ANTHONY A KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
(612) 625-5443
(612) 625-1121
Mailing address
420 DELAWARE ST SE MMC 609, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-5443
(612) 625-1121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
30034
MN
207ZP0104X
Chemical Pathology Physician
30034
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
30034
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041657600
—
MN
01
—
102788
U CARE
MN
01
—
1031950
PREFERRED ONE
MN
01
—
11-00014
MEDICA-PRIMARY
MN
01
—
11-00232
MEDICA-CHOICE
MN
01
—
1696864
ARAZ
—
01
—
HP38352
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
05/04/2012
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