| Elizabeth A Detlie, MD | |
|
404 Highway 96 W, Shoreview, MN 55126-1900 | |
| (651) 483-8283 | |
| (651) 483-8299 |
| Full Name | Elizabeth A Detlie |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 404 Highway 96 W, Shoreview, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114933744 | NPI | - | NPPES |
| 129886100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27679 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Detlie, MD 2025 Sloan Pl, Ste 35, Saint Paul, MN 55117-2007 Ph: (651) 772-1572 | Elizabeth A Detlie, MD 404 Highway 96 W, Shoreview, MN 55126-1900 Ph: (651) 483-8283 |
John Paul Lundgren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Lizabeth Kaku, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Brandy Lee Utter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Jeffrey Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 612-804-2522 | |
Matthew C Monteiro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 | |
Dr. Seth A Vogel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 |