Healthcare Provider Details

I. General information

NPI: 1508325598
Provider Name (Legal Business Name): GRETCHEN ELIZABETH BEER DO, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 YORK AVE S STE 300
EDINA MN
55435-5864
US

IV. Provider business mailing address

7701 YORK AVE S STE 300
EDINA MN
55435-5864
US

V. Phone/Fax

Practice location:
  • Phone: 952-926-6489
  • Fax:
Mailing address:
  • Phone: 952-926-6489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number72398
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: