Healthcare Provider Details

I. General information

NPI: 1558528612
Provider Name (Legal Business Name): ANGELA FIMBRES VEESENMEYER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MARIE FIMBRES MD

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 RIVERSIDE AVE FL 12
MINNEAPOLIS MN
55454-1450
US

IV. Provider business mailing address

PO BOX 93181
PHOENIX AZ
85070-3181
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-8383
  • Fax:
Mailing address:
  • Phone: 602-470-5000
  • Fax: 602-470-5063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD2025-1053
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberC144093
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number76844
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number54550
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: