Individual
DR. ANNIE L IDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3930 NORTHWOODS DR - MAIL STOP 32800A, HEALTHPARTNERS ARDEN HILLS CLINIC, ARDEN HILLS, MN 55112-6974
(651) 523-8500
(651) 523-8584
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 523-8584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48491
MN
Other
Enumeration date
01/18/2006
Last updated
12/01/2011
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