Individual
ANNE ELEANOR SELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCCA
Contact information
Practice address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(612) 824-9701
Mailing address
358 E 44TH ST, MINNEAPOLIS, MN 55409-2153
(612) 824-9701
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043277957
MCHP
MN
01
—
14293SE
BCBS
MN
01
—
4500000
MEDICA
—
01
—
HP41240
HEALTH PARTNERS
—
Enumeration date
04/26/2006
Last updated
01/23/2009
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