Individual
SUSAN I MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
Mailing address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 43858-8
MN
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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