Judith Marie Ellerbusch, NP

NPI #1801163928 in Roseville, Minnesota

Provider Information

NPI Number: 1801163928
Entity Type: Individual
Name: Judith Marie Ellerbusch, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: NP
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 2277 HIGHWAY 36 W
City: Roseville
State: Minnesota
ZIP Code: 55113-3804
Phone: (651) 631-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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