Individual
MRS. SUSAN M SJOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
96 HOULTON ROAD, PRESQUE ISLE, ME 04769
(207) 764-6242
(207) 764-6242
Mailing address
PO BOX 4063, PRESQUE ISLE, ME 04769-4063
(207) 764-6242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 720
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039498
ANTHEM BLUE CROSS
ME
Enumeration date
07/05/2006
Last updated
07/08/2007
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