MEDICARE: ANNA E KRIEGER MD

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	207RN0300X	Nephrology Physician	77823	MN
2	390200000X	Student in an Organized Health Care Education/Training Program		NY

General Provider Information

NPI Number	:	1700440112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA E KRIEGER MD

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SHINGLE CREEK PKWY STE 250
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2107
Country	:	US
Telephone Number	:	763-544-0696
Fax Number	:

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

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	11/25/2024

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Directions to “ ANNA E KRIEGER MD” Practice Location

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