1386340487 NPI number — ELISABETH MAE SALZWEDEL SBD, MCD, MCPD

Table of content: ELISABETH MAE SALZWEDEL SBD, MCD, MCPD (NPI 1386340487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386340487 NPI number — ELISABETH MAE SALZWEDEL SBD, MCD, MCPD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALZWEDEL
Provider First Name:
ELISABETH
Provider Middle Name:
MAE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SBD, MCD, MCPD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386340487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2780 187TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRASSTON
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55030-9688
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-437-8588
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2780 187TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRASSTON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55030-9688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-437-8588
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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