Female

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)

Code

207Q00000X

Primary Taxonomy

Yes

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

Provider Address

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