Healthcare Provider Details

I. General information

NPI: 1497782718
Provider Name (Legal Business Name): ELIZABETH WEST BIZIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH WEST WEBER MD

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SHRINERS HOSPITAL FOR CHILDREN 215 RADIO DR.
WOODBURY MN
55125
US

IV. Provider business mailing address

215 RADIO DR. SUITE 100
WOODBURY MN
55125
US

V. Phone/Fax

Practice location:
  • Phone: 612-596-6100
  • Fax: 612-339-7634
Mailing address:
  • Phone: 612-596-6100
  • Fax: 612-339-7634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number044748
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number54315
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: