Individual
ELIZABETH AMANDA SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 WABASHA ST S, MMC 207, SAINT PAUL, MN 55107-1805
(651) 293-8100
Mailing address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
108235
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
07/01/2015
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