Elmer, Victoria M

Elmer, Victoria M is an individual health care provider with primary practice located at 6043 Hudson Road Suite 220, Woodbury MN 55125. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Elmer, Victoria M can be contacted via phone (651) 925-8200.

Contact Information

Primary practice address
6043 Hudson Road Suite 220 Woodbury MN 55125
Phone: (651) 925-8200
Fax: (651) 925-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38414 Minnesota
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 384144 Minnesota

Profile Details

NPI number 1235192709
LBN Legal business name Elmer, Victoria M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235192709 NPPES
Minnesota MEDICAID 351720900

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