Individual
ELISABETH A SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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