Individual
MRS. ELIZABETH MARIE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 20TH AVE N, SAINT CLOUD, MN 56303-3830
(320) 253-5981
(320) 259-1432
Mailing address
307 20TH AVE N, SAINT CLOUD, MN 56303-3830
(320) 253-5981
(320) 259-1432
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
800112-1-RH
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A350025000
UMPI
MN
Enumeration date
02/26/2013
Last updated
02/26/2013
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