Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 56727 | MN |
NPI | 1306092655 |
---|---|
Provider Name | Dr. Laura Catherine Speltz |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Minneapolis, MN 55454-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2008 |
Last Update Date | 19/06/2018 |