Individual
ELIZABETH BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 TOWN CENTRE DR STE 100, EAGAN, MN 55123-1188
(651) 968-5200
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5050
(651) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10365
MN
Other
Enumeration date
01/25/2008
Last updated
09/26/2012
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