Healthcare Provider Details

I. General information

NPI: 1972710739
Provider Name (Legal Business Name): BETSY D BUEHRER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3M CENTER BLDG 220-6W-08
SAINT PAUL MN
55144-1000
US

IV. Provider business mailing address

3M CENTER BLDG 220-6W-08
SAINT PAUL MN
55144-1000
US

V. Phone/Fax

Practice location:
  • Phone: 651-736-5347
  • Fax: 651-733-9066
Mailing address:
  • Phone: 651-736-5347
  • Fax: 651-733-9066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number45936
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: