MEDICARE: MRS. ANNE OBERMILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	455042	MN

General Provider Information

NPI Number	:	1255264008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE OBERMILLER

Provider Business Mailing Address
First Line	:	1001 HIGHWAY 7
Second Line	:
City	:	HOPKINS
State	:	MN
Zip	:	55305-4737
Country	:	US
Telephone Number	:	952-988-4000
Fax Number	:	952-988-4092

Provider Business Practice Location Address
First Line	:	10700 CEDAR LAKE RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55305-3361
Country	:	US
Telephone Number	:	952-988-4800
Fax Number	:	952-988-4869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MRS. ANNE OBERMILLER ” Practice Location

Language	Start Address	Practice Location

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