Individual
DR. SUSAN H. PHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC, DAAPM, DACBN
Contact information
Practice address
995 UNIVERSITY AVE W, SUITE 101, SAINT PAUL, MN 55104-4796
(651) 642-1110
(651) 642-1113
Mailing address
995 UNIVERSITY AVE W, SUITE 101, SAINT PAUL, MN 55104-4796
(651) 642-1110
(651) 642-1113
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
3532
MN
171100000X
Acupuncturist
Primary
411
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232018
ACN
MN
01
—
5C969 PH
BCBS-MN
MN
Enumeration date
07/07/2005
Last updated
09/11/2025
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