Individual
DR. ELIZABETH KATE BLIXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SUITE 2575, ST CLOUD, MN 56303-5000
(320) 229-4924
(320) 229-4971
Mailing address
1900 CENTRACARE CIR, SUITE 2575, ST CLOUD, MN 56303-5000
(320) 229-4924
(320) 229-4971
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
107024
MN
207N00000X
Dermatology Physician
Primary
56812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01238261
RAILROAD MEDICARE
MN
Enumeration date
07/26/2012
Last updated
06/14/2016
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