Individual
ELIZABETH ELAINE SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
601 EAST ST. N, ELGIN, ND 58533
(701) 584-2792
Mailing address
601 EAST ST. N, ELGIN, ND 58533
(701) 584-2792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9008
ND
207RN0300X
Nephrology Physician
Primary
9008
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457964
—
ND
01
—
28837
STATE LICENSE
WA
01
—
9008
STATE LICENSE
ND
Enumeration date
01/26/2007
Last updated
07/31/2019
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