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Individual

ELIZABETH A RIESGRAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-4917
(320) 229-5181
Mailing address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-4917
(320) 229-5181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24843
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0107720
MEDICA HEALTH PLANS
01
1028600
PREFERRED ONE
01
112001
U CARE
01
1362965
ARAZ GRP AMERICA'S PPO
01
2114105
FIRST HEALTH PLAN
01
298703100
MEDICAL ASSISTANCE
01
51F43RI
BLUE CROSS BLUE SHIELD
01
HP11310
HEALTH PARTNERS
Enumeration date
10/31/2005
Last updated
12/05/2011
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