Individual
ELIZABETH BURGSTAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE # 6-240, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
515 DELAWARE ST SE # 6-240, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
R804
MN
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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