Individual
MISTY ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 362-6507
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 362-6507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57948
MN
Other
Enumeration date
05/19/2009
Last updated
10/12/2017
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