Individual
DR. SUSAN M CULICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 625-4440
(314) 454-2368
Mailing address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
115486
MO
207W00000X
Ophthalmology Physician
Primary
66456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205785306
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/17/2006
Last updated
11/21/2019
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