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Elizabeth A Detlie, MD
Family Medicine Physician in Shoreview, Minnesota
NPI 1114933744

Elizabeth A Detlie is a Family Medicine Physician based in Saint Paul, MN. Elizabeth A Detlie practices in Shoreview, MN and has the professional credentials of MD. The NPI Number for Elizabeth A Detlie is 1114933744 and holds a License No. 27679 (Minnesota).

The current practice location address for Elizabeth A Detlie is 404 Highway 96 W, Shoreview, MN and can be reached out via phone at 651-483-8283 and via fax at 651-483-8299.

Location: 404 Highway 96 W, Shoreview, MN, 55117-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114933744
Provider Name
Elizabeth A Detlie
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
404 Highway 96 W, Shoreview, MN, 55117-2007
Phone Number
651-483-8283
Fax Number
651-483-8299
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129886100 05 MN
institution
Provider Business Practice Location Address Details
Address
404 Highway 96 W
City
Shoreview
State
Minnesota
Zip
55126-1900
Phone Number
651-483-8283
Fax Number
651-483-8299
person
Provider Business Mailing Address Details
Address
404 Highway 96 W
City
Shoreview
State
Minnesota
Zip
55126-1900
Phone Number
651-483-8283
Fax Number
651-483-8299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
27679 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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