Individual
BETHANY INA WESTPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 GRAND AVE, SAINT PAUL, MN 55102-2331
(651) 241-1001
Mailing address
233 GRAND AVE, SAINT PAUL, MN 55102-2331
(651) 241-1001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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