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Elizabeth Rose Hofbauer, M.D.

Internal Medicine in Shoreview, MN. Individual provider (NPI-1).

NPI number1760626543
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1760626543
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth Rose Hofbauer
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2009
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine57574MNYes
208000000X Pediatrics57574MN

Practice location

4194 Lexington Ave N
Shoreview, MN 55126-6106

Phone 651-483-5461

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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