Individual
DR. ELIZABETH JOAN FAZENDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1 VETERANS DR, DEPARTMENT OF PM&R - VA MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
3320 FRANCE AVE S, ST LOUIS PARK, MN 55416-4713
(612) 396-5980
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49301
MN
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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