Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elizabeth Imdieke

Individual provider Prosthodontics · NPI 1023180023

Mary Elizabeth Imdieke is a Prosthodontics in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

515 Delaware St SE Cleft Palate Clinic - 6th Fl Moos Tower
Minneapolis, MN 55455-0357
Phone: (612) 625-2495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D11276 (MN)

Record details

NPI number1023180023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 14, 2007

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