Provider Demographics
NPI:1194779389
Name:ALDINGER, JANIECE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JANIECE
Middle Name:MARIE
Last Name:ALDINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3400 W 66TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2109
Mailing Address - Country:US
Mailing Address - Phone:952-920-7200
Mailing Address - Fax:763-302-4234
Practice Address - Street 1:3400 W 66TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2109
Practice Address - Country:US
Practice Address - Phone:952-920-7200
Practice Address - Fax:763-302-4234
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN362142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN04R37ALOtherBCBS OF MN
MN0500839OtherMEDICA
MN763913OtherAMERICA'S PPO
MN1014449OtherPREFERRED ONE
MNHP23260OtherHEALTHPARTNERS
MN120557C029OtherUCARE
WI32226600Medicaid
MN130018523OtherRAILROAD MEDICARE
MN763913OtherAMERICA'S PPO
MN120557C029OtherUCARE
MN477520100Medicaid