Individual provider · Type 1 NPI

Elizabeth A. Detlie, MD

Family Medicine Physician · Shoreview, MN

NPI number 1114933744 Active

Practice location

404 Highway 96 W
Shoreview, MN 55126-1900

Call (651) 483-8283 Map

Fax (651) 483-8299

Mailing address

2025 Sloan Pl, Ste 35
St. Paul, MN 55117-2007

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X27679 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114933744

Elizabeth A. Detlie, MD's National Provider Identifier is 1114933744, issued on Aug 1, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Shoreview, MN. The record was last updated on Oct 14, 2011.