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NPI Code Detail

MEDICARE: ELIZABETH ANNE OESTERREICH

MEDICARE: ELIZABETH ANNE OESTERREICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7803MN

General Provider Information

NPI Number : 1144397779
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE OESTERREICH
Provider Business Mailing Address
First Line : 1429 GRAND ST NE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-1027
Country : US
Telephone Number : 612-695-1397
Fax Number :
Provider Business Practice Location Address
First Line : 3333 UNIVERSITY AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3325
Country : US
Telephone Number : 612-728-5329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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Directions to “ ELIZABETH ANNE OESTERREICH ” Practice Location

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