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Individual

ELAINE MACALENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
101 A 14TH STREET NE, BUFFALO, MN 55313
(763) 684-3880
Mailing address
611 WILLOW CREEK LN, BUFFALO, MN 55313-2118

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1405
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47G20MA
BCBS
MN
05
616055700
MN
01
6402073
MEDICA
MN
01
HP45831
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
03/20/2020
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