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Individual

VICTORIA M ELMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6043 HUDSON ROAD, SUITE 220, WOODBURY, MN 55125
(651) 925-8200
(651) 925-8201
Mailing address
550 MAIN STREET, SUITE 190, NEW BRIGHTON, MN 55112
(612) 326-7575
(612) 454-2430

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
384144
MN
208600000X
Surgery Physician
38414
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351720900
MN
Enumeration date
04/07/2006
Last updated
01/19/2021
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