Healthcare Provider Details

I. General information

NPI: 1508830092
Provider Name (Legal Business Name): ANNE E BENDEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CHICAGO AVE S CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS MN
55404
US

IV. Provider business mailing address

2910 CENTRE POINT DR 35121A CHILDRENS HEALTH CARE
ROSEVILLE MN
55113
US

V. Phone/Fax

Practice location:
  • Phone: 612-813-5940
  • Fax: 612-813-6325
Mailing address:
  • Phone: 651-855-2109
  • Fax: 651-855-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number33481
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: