Individual
JEFFREY D ELBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4786 BANNING AVE, WHITE BEAR LAKE, MN 55110-3264
(651) 426-6402
(651) 429-3402
Mailing address
2025 SLOAN PL, SUITE 35, SAINT PAUL, MN 55117-2007
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931220000
—
MN
Enumeration date
07/27/2006
Last updated
02/15/2019
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