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Individual

SUZANNE B HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
640 JACKSON ST, HEALTHPARTNERS REGIONS BEHAVIORAL MAIL STOP 11303A, ST PAUL, MN 55101-2502
(651) 254-4786
(651) 254-9426
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-9426

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32313
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080593900
MN
Enumeration date
03/01/2006
Last updated
02/01/2012
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