Individual
ERLA J DUTKOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2220 RIVERSIDE AVENUE, MINNEAPOLIS, MN 55454-1321
(952) 883-7172
(952) 883-5395
Mailing address
8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1167023
MN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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