Individual
ELLIE M KLAWITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2945 HAZELWOOD ST STE 340, MAPLEWOOD, MN 55109-1241
(651) 312-1620
(651) 312-1570
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14345
MN
Other
Enumeration date
12/23/2022
Last updated
06/09/2025
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