Individual
MARIA SUZANNE KRUSEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MOULTON AND PARSONS DR, SAINT JAMES, MN 56081-5550
(413) 786-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 375-3262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
076314
IA
235Z00000X
Speech-Language Pathologist
8079
MA
235Z00000X
Speech-Language Pathologist
Primary
9393
MN
Other
Enumeration date
04/23/2012
Last updated
02/27/2026
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