Miss SUSAN MARGARET LOU
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1316387277- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 640 JACKSON ST, SAINT PAUL, MN, 551012502
- Phone
- (651) 254-3242
- Fax
- (651) 254-1553
Specialties & Taxonomies
Internal Medicine
License: MN #63005
Internal Medicine, Gastroenterology
Primary License: MN #63005
All Addresses
MAILING
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN, 554254516