Minenko, Anne G
Minenko, Anne G is an individual health care provider with primary practice located at 516 Delaware St Se Pwb Sixth Floor, Clinic 6A, Minneapolis MN 55455-0356. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Minenko, Anne G can be contacted via phone (612) 625-8690.Contact Information
Primary practice address
516 Delaware St Se Pwb Sixth Floor, Clinic 6A
Minneapolis MN 55455-0356
Phone: (612) 625-8690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 42698 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42698 | Minnesota |
Profile Details
| NPI number | 1215037080 |
|---|---|
| LBN Legal business name | Minenko, Anne G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 31st, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215037080 | NPPES |
| Minnesota | MEDICAID | 010905300 | |
| Minnesota | Other | 1023931 | |
| Minnesota | Other | HP31270 | |
| Minnesota | Other | 1031133 | |
| Minnesota | MEDICAID | 34012200 | |
| Minnesota | Other | 127830 | |
| Minnesota | Other | 32-00003 | |
| Minnesota | Other | 1031133 | |
| Minnesota | Other | 77R66MI | |
| Minnesota | Other | 32-00055 |
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