ELIZABETH A DETLIE

SHOREVIEW, MN
NPI1114933744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  27679)
Enumeration Date2006-08-01
Last Update Date2011-10-14
Business Address
ELIZABETH A DETLIE MD
404 HIGHWAY 96 W
SHOREVIEW, MN 55126-1900
Phone number: 651-483-8283
Mailing Address
ELIZABETH A DETLIE MD
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2007
Phone number: 651-772-1572
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