Ezzo, Mary L
Ezzo, Mary L is an individual health care provider with primary practice located at 8675 Valley Creek Road , Woodbury MN 55125-2337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ezzo, Mary L can be contacted via phone (651) 241-3000.Contact Information
Primary practice address
8675 Valley Creek Road
Woodbury MN 55125-2337
Phone: (651) 241-3000
Fax: (651) 483-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26943 | Minnesota |
Profile Details
| NPI number | 1659332021 |
|---|---|
| LBN Legal business name | Ezzo, Mary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 8th, 2012 - about 12 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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