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Individual
SUSAN M ROOKS
Active
Individual
SUSAN M ROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MPH
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R025362
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4683
DAKOTACARE PROVIDER #
SD
01
—
4995586
BC/BS PROVIDER #
SD
01
—
4997309
BC/BS GROUP #
SD
05
—
5307030
—
SD
05
—
6540132
—
SD
05
—
6540133
—
SD
01
—
9191420
DAKOTACARE GROUP #
SD
01
—
DD0976
RR MEDICARE GROUP #
SD
01
—
P00304019
RR PROVIDER #
SD
Enumeration date
08/16/2006
Last updated
05/09/2012
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