Individual
ELIZABETH BONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
MD60285551
WA
2083P0901X
Public Health & General Preventive Medicine Physician
N8625
TX
2083X0100X
Occupational Medicine Physician
13604
WI
2083X0100X
Occupational Medicine Physician
Primary
79885
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298614
L&I
—
05
—
1124252820
—
WA
Enumeration date
05/08/2009
Last updated
07/11/2025
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