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Ellen B. Rest, M.D.

Specialist in Fridley, MN. Individual provider (NPI-1).

NPI number1477598985
StatusActive
Last updated in NPPESNov 4, 2013

Details

NPI
1477598985
Entity type
Individual (NPI-1)
Name
Ellen B. Rest
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2006
Last updated
Nov 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist34663MNYes

Practice location

7205 University Ave Ne
Fridley, MN 55432-3134

Phone 763-571-4000 · Fax 763-571-7202

Mailing address

7205 University Ave Ne
Fridley, MN 55432-3134

Phone 763-571-4000 · Fax 763-571-7202

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