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Individual

JOHN M LITELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4762
(612) 863-8425
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101021480
MI
207P00000X
Emergency Medicine Physician
51749
MN
207P00000X
Emergency Medicine Physician
OS014414
PA
207P00000X
Emergency Medicine Physician
OT011680
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
51749
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
05/14/2007
Last updated
03/11/2021
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