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Judith Marie Ellerbusch, NP
Specialist in Roseville, Minnesota
NPI 1801163928

Judith Marie Ellerbusch is a Specialist based in Owatonna, MN. Judith Marie Ellerbusch practices in Roseville, MN and has the professional credentials of NP. The NPI Number for Judith Marie Ellerbusch is 1801163928 and holds a License No. R846552 (Minnesota).

The current practice location address for Judith Marie Ellerbusch is 2277 Highway 36 W, Roseville, MN and can be reached out via phone at 651-631-0065.

Location: 2277 Highway 36 W, Roseville, MN, 55060-4200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801163928
Provider Name
Judith Marie Ellerbusch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2277 Highway 36 W, Roseville, MN, 55060-4200
Phone Number
651-631-0065
Fax Number
Provider Enumeration Date
11/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2277 Highway 36 W
City
Roseville
State
Minnesota
Zip
55113-3804
Phone Number
651-631-0065
Fax Number
person
Provider Business Mailing Address Details
Address
2277 Highway 36 W
City
Roseville
State
Minnesota
Zip
55113-3804
Phone Number
651-631-0065
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R846552 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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