Provider Demographics
NPI:1497782718
Name:BIZIER, ELIZABETH WEST (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:WEST
Last Name:BIZIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:WEST
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:215 RADIO DR. SUITE 100
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125
Mailing Address - Country:US
Mailing Address - Phone:612-596-6100
Mailing Address - Fax:612-339-7634
Practice Address - Street 1:SHRINERS HOSPITAL FOR CHILDREN
Practice Address - Street 2:215 RADIO DR.
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125
Practice Address - Country:US
Practice Address - Phone:612-596-6100
Practice Address - Fax:612-339-7634
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044748207X00000X
MN54315207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I46123Medicare UPIN