Provider Demographics
NPI:1821224940
Name:DEPOMPOLO, ANNA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:DEPOMPOLO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2525 CHICAGO AVE
Mailing Address - Street 2:32-1488
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4518
Mailing Address - Country:US
Mailing Address - Phone:612-813-6843
Mailing Address - Fax:612-813-6114
Practice Address - Street 1:2525 CHICAGO AVE SOUTH
Practice Address - Street 2:32-1488
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-813-6843
Practice Address - Fax:612-813-6114
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2017-04-24
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Provider Licenses
StateLicense IDTaxonomies
MN550482080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine