Individual
DR. ELIZABETH GILTHVEDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
118 N OAK AVE, OWATONNA, MN 55060-2311
(507) 451-3072
(507) 451-4291
Mailing address
118 N OAK AVE, OWATONNA, MN 55060-2311
(507) 451-3072
(507) 451-4291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2035
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011308
PREFERRED ONE
—
01
—
122239
U-CARE
MN
01
—
2200937
MEDICA
—
01
—
59829GI
BLUECROSS BLUESHIELD
—
01
—
HP20985
HEALTH PARTNERS
—
Enumeration date
08/23/2005
Last updated
07/08/2007
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