Individual
DR. ELAINE JAYNE CATHERINE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST # MS 11502V, SAINT PAUL, MN 55101
(651) 254-7980
(651) 254-7990
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-7980
(651) 254-7990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.063949
IL
Other
Enumeration date
07/14/2013
Last updated
07/22/2019
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