Dr. Bruce Ira Idelkope, M.D.
Psychiatry & Neurology, Neurology in Edina, MN. Individual provider (NPI-1).
NPI number1083661680
StatusActive
Last updated in NPPESDec 2, 2011
Details
- NPI
- 1083661680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Ira Idelkope
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- Dec 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 22536 | MN | Yes |
Practice location
3400 W 66th StSuite 150
Edina, MN 55435-2109
Phone 952-920-7200 · Fax 763-302-4234
Mailing address
3400 W 66th StSuite 150
Edina, MN 55435-2109
Phone 952-920-7200 · Fax 763-302-4234
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