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Contact Information

ANTHONY A KILLEEN, MD
420 DELAWARE STREET SE
760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN55455
 Phone: 612-625-5443
 Fax: 612-625-1121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Chemical Pathology

207ZP0104X 22 Physician/Pathology
 

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ANTHONY A KILLEEN · (Male)

NPI Number 1811087323
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 05/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 30034
  • MN Medicaid 041657600
  • Other 1696864 ARAZ
  • MN Other HP38352 HEALTH PARTNERS
  • MN Other 11-00232 MEDICA-CHOICE
  • MN Other 11-00014 MEDICA-PRIMARY
  • MN Other 1031950 PREFERRED ONE
  • MN Other 102788 U CARE
Hospital affiliation(s)
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
  • GRAND ITASCA CLINIC AND HOSPITAL - (Acute Care)
    1601 GOLF COURSE ROAD
    GRAND RAPIDS, MN 55744
  • UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS - (Acute Care)
    750 EAST 34TH ST
    HIBBING, MN 55746
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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