Individual
CARRIE SURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 LUNDORFF DR STE 2, SANDSTONE, MN 55072-5099
(320) 245-5500
Mailing address
707 LUNDORFF DR STE 2, SANDSTONE, MN 55072-5099
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1328914
MN
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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