Mary J. Tetzloff MD
Family Medicine Physician in Faribault, MN(View on Map)
Full Name
Mary Jane Tetzloff MD
NPI Number
1396704110
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/21/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
32768
Contact
Information
Purpose
Mailing
Location
Address
2925 CHICAGO AVE
100 STATE AVE
City
Minneapolis
Faribault
State
MN
MN
Postal Code
55407-1321
55021-6337
Country
US
US
Telephone Number
(612) 262-5000
(507) 334-3921
Identifiers
Identifier
304795400
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/20/2011