NPI 1396704110

Mary Jane Tetzloff, MD

Practitioner Family Medicine Physician Faribault, MN

Practice location

Address: 100 State Ave, Faribault, MN 55021-6337
Phone: (507) 334-3921
Fax: (507) 332-5298
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 32768 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1396704110
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2006
Record last updated: 20 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.