Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH A DETLIE, MD
ActiveELIZABETH A DETLIE, MD is a Family Medicine healthcare provider located in SHOREVIEW, Minnesota. NPI 1114933744 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHOREVIEW, MN
Registration Details
- NPI Number
- 1114933744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2006 (20.039688769262 yrs)
- Last Updated
- Oct 14, 2011
- License
-
27679 (MN)
Practice Information
- Address
-
404 HIGHWAY 96 WSHOREVIEW, MN, 551261900Browse MN providers · Browse ZIP 55126
- Phone
- 6514838283
- Fax
- 6514838299
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| AZRA WEBER | M.D. | 1912974692 |
| RICHARD D. GLASOW | MD | 1487614335 |
| ANNE W CAMPBELL | MD | 1508827635 |
| ROSS E ANDERSON | MD | 1619938420 |
| EDWARD MARTEL DENNISON | MD | 1457313587 |
| JOHN PAUL LUNDGREN | MD | 1013979939 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.