Individual
LISA M. GUETZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
Mailing address
9855 HOSPITAL DR STE 102B, MAPLE GROVE, MN 55369-5021
(763) 581-5900
(763) 581-5901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55638
MN
208000000X
Pediatrics Physician
A108780
CA
Other
Enumeration date
10/15/2007
Last updated
05/31/2022
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