Individual
ELIZABETH MARGARET THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 MINNESOTA DR # 200, EDINA, MN 55435-5417
(952) 996-9600
Mailing address
17050 TRENTON LN, EDEN PRAIRIE, MN 55347-3381
(952) 237-0619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2298085
MN
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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