Individual
ELIZABETH MARIE RADUEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811-3936
(218) 786-3540
(218) 722-8160
Mailing address
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811-3936
(218) 786-3540
(218) 722-8160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37217
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435013800
—
MN
05
—
435013800
—
WI
Enumeration date
07/09/2006
Last updated
05/12/2011
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