Individual
ELIZABETH RIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 656-7020
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
10/26/2022
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