Provider Demographics
NPI:1013207596
Name:MEICHSNER, ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MEICHSNER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25362 LUCKEN DR
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MN
Mailing Address - Zip Code:56244-2084
Mailing Address - Country:US
Mailing Address - Phone:320-345-5888
Mailing Address - Fax:
Practice Address - Street 1:209 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:CHOKIO
Practice Address - State:MN
Practice Address - Zip Code:56221
Practice Address - Country:US
Practice Address - Phone:320-345-5888
Practice Address - Fax:612-888-9777
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN55376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine