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Individual
SUSAN MATTHIESEN
Active
Individual
SUSAN MATTHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
500
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006908
PREFERRED ONE
—
01
—
14484
BLUE SHIELD
ND
01
—
4500069
MEDICA
—
05
—
50403
—
ND
01
—
HP42264
HEALTH PARTNERS
—
Enumeration date
05/20/2006
Last updated
08/05/2011
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