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MARY JANE TETZLOFF MD
NPI 1396704110
Family Medicine in Faribault, MN

Active since March 21, 2006
100 STATE AVE, FARIBAULT, MN 55021(507) 334-3921(507) 332-5298 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jane Tetzloff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE TETZLOFF MD (NPI 1396704110) is an individual family medicine provider in Faribault, Minnesota, licensed in Minnesota (32768) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1396704110
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY JANE TETZLOFFCredential: MD
Location Address100 STATE AVEFaribault, MN 55021-6337
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(507) 334-3921
Fax(507) 332-5298
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1396704110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 32768
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 STATE AVE, Faribault, MN 55021
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Other Names 1

Former Name (1)Mary Jane Tetzloff

Other Identifiers 3

Medicaid304795400MN
Medicare PIN080020937MN
Medicare UPIND98298

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLINA HEALTH SYSTEM
Family Medicine
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
SIGRID ANNE NELSON MD
Family Medicine
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
SAMIRA B ANDERSON AUD
Audiologist
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
MARY L CAMERON MD
Internal Medicine
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
GERALD DUANE GREGERSEN PHD, LP
Psychologist
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
MR. DAVID MICHAEL KARIM MBA, MSW, LCSW
Social Worker (Clinical)
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
RAY W WOOD MD
Family Medicine
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921
KELLY KNAEBLE MSW, LICSW
Social Worker (Clinical)
100 STATE AVE
FARIBAULT, MN 55021
Rice County (507) 334-3921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tetzloff's NPI number?

The NPI number for Mary Tetzloff is 1396704110. It was assigned to this individual provider in the NPPES registry on March 21, 2006. The provider is also known as Mary Jane Tetzloff.

Where is Mary Tetzloff located?

Mary Tetzloff practices at 100 State Ave, Faribault, MN 55021. The listed phone number is (507) 334-3921.

What is Mary Tetzloff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Tetzloff was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.