Provider Demographics
NPI:1386340487
Name:SALZWEDEL, ELISABETH MAE (SBD, MCD, MCPD)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:MAE
Last Name:SALZWEDEL
Suffix:
Gender:F
Credentials:SBD, MCD, MCPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 187TH AVE
Mailing Address - Street 2:
Mailing Address - City:GRASSTON
Mailing Address - State:MN
Mailing Address - Zip Code:55030-9688
Mailing Address - Country:US
Mailing Address - Phone:612-437-8588
Mailing Address - Fax:
Practice Address - Street 1:2780 187TH AVE
Practice Address - Street 2:
Practice Address - City:GRASSTON
Practice Address - State:MN
Practice Address - Zip Code:55030-9688
Practice Address - Country:US
Practice Address - Phone:612-437-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula