Individual
DR. EDWARD JOSEPH MCELLISTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 CHRISTENSEN AVE, WEST ST PAUL, MN 55118-1633
(651) 457-1034
Mailing address
888 CHRISTENSEN AVE, WEST ST PAUL, MN 55118-1633
(651) 457-1034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15877
MN
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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