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ELISABETH A SLATTERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
(651) 241-5000
(651) 241-5511
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31392
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0408095
MEDICA
MN
01
140132
UCARE
MN
05
31465300
WI
01
830G1SL
BCBS
MN
05
938088400
MN
01
HP31074
HEALTHPARTNERS
MN
01
NA2351019583
PREFERREDONE
MN
Enumeration date
09/14/2006
Last updated
12/18/2019
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