Individual
ELIZABETH STANTON TETER ABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
406 HARVARD ST SE # MMC36, MINNEAPOLIS, MN 55455-0362
(612) 625-8999
Mailing address
406 HARVARD ST SE # MMC36, MINNEAPOLIS, MN 55455-0362
(612) 625-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65236
MN
207RG0100X
Gastroenterology Physician
Primary
65236
MN
207RT0003X
Transplant Hepatology Physician
65236
MN
Other
Enumeration date
03/27/2015
Last updated
09/19/2024
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