Individual
ELIZABETH EMILY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(651) 232-2273
Mailing address
1690 UNIVERSITY AVE W STE 370, SAINT PAUL, MN 55104-3723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
62473
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2011
Last updated
07/02/2018
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