Individual
ELLEN N GARBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3640
(651) 232-3632
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3640
(651) 232-3632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43151
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105102400
—
MN
Enumeration date
05/23/2006
Last updated
02/25/2010
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