Individual
SUZY E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1512
(612) 672-6000
Mailing address
2353 YOUNGMAN AVE, SAINT PAUL, MN 55116-3021
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
45096
MN
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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