Individual
TERI D. MCNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34748400
—
WI
Enumeration date
10/27/2006
Last updated
03/29/2021
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