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Individual

ELIZABETH BISINOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4702
(952) 993-3246
(952) 993-3010
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 913-7924

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
46941
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H85024
UPIN
MN
Enumeration date
12/27/2005
Last updated
02/29/2016
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