Individual
TETYANA METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7977
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
57003
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
PT17682
ND
Other
Enumeration date
12/31/2008
Last updated
07/22/2025
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