Dr. Elizabeth Kate Blixt, MD
Dermatology in St Cloud, MN. Individual provider (NPI-1).
NPI number1487900577
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1487900577
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Kate Blixt
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2012
- Last updated
- Jun 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 56812 | MN | Yes |
| 207N00000X | Dermatology | 107024 | MN |
Other names
- Elizabeth Sand (Former Name)
Practice location
1900 Centracare CirSuite 2575
St Cloud, MN 56303-5000
Phone 320-229-4924 · Fax 320-229-4971
Mailing address
1900 Centracare CirSuite 2575
St Cloud, MN 56303-5000
Phone 320-229-4924 · Fax 320-229-4971
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