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NPI Code Detail

MEDICARE: ELIZABETH ELLEN DOTY MD

MEDICARE: ELIZABETH ELLEN DOTY MD
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
1207V00000XObstetrics & Gynecology Physician48875MN

General Provider Information

NPI Number : 1497706428
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ELLEN DOTY MD
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 715 S 8TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-1210
Country : US
Telephone Number : 612-873-6963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 01/21/2026

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Directions to “ ELIZABETH ELLEN DOTY MD” Practice Location

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