Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 49456 | MN |
Y | 207VE0102X | Reproductive Endocrinologist | 49456 | MN |
NPI | 1588621999 |
---|---|
Provider Name | Elizabeth Annella Stewart |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 12/11/2020 |