Individual
JEANNE LOUISE BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3931 LOUISIANA AVE S, SUITE E500, ST LOUIS PARK, MN 55426-4375
(952) 993-1327
Mailing address
2200 PARK BEND DR, BLDG 2 STE 203, AUSTIN, TX 78758-5592
(512) 339-8831
(512) 339-8841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
44912
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032246
PREFERRED ONE
—
01
—
05-81580
MEDICA
—
05
—
10088
—
ND
01
—
130025532
RAILROAD MEDICARE
—
01
—
1690679
AMERICA'S PPO
—
01
—
373S2BE
BLUE CROSS BLUE SHIELD
—
01
—
41-1677590
WEA TRUST INSURANCE
—
05
—
490687000
—
MN
01
—
A013
TRIWEST
—
01
—
HP37144
HEALTHPARTNERS
—
Enumeration date
07/27/2006
Last updated
03/24/2016
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