Klodas, Elizabeth

Klodas, Elizabeth is an individual health care provider with primary practice located at 6545 France Avenue S. Suite 125, Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Klodas, Elizabeth can be contacted via phone (952) 929-5600.

Contact Information

Primary practice address
6545 France Avenue S. Suite 125 Edina MN 55435
Fax: (952) 929-5610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32079 Minnesota

Profile Details

NPI number 1194792978
LBN Legal business name Klodas, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 27th, 2020 - 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 1194792978 NPPES
Minnesota MEDICAID 044217800

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