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Individual

ELISA M WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Mailing address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
270704
MN
207VE0102X
Reproductive Endocrinology Physician
270704
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19546WR
BLUE CROSS BLUE SHIELD
MN
05
239360300
MN
01
HP14720
HEALTH PARTNERS
MN
Enumeration date
03/07/2006
Last updated
04/04/2016
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