ELENA ROSE COWEN BANTLE

DULUTH, MN
NPI1487318911
Former NameELENA ROSE BANTLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14385)
Enumeration Date2021-10-31
Last Update Date2023-03-03
Business Address
ELENA ROSE COWEN BANTLE PA-C
211 S BOUNDARY AVE
DULUTH, MN 55810-2306
Phone number: 218-576-0200
Mailing Address
ELENA ROSE COWEN BANTLE PA-C
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
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