Individual
SUSAN SKARP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5431
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47096
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00335915
—
MN
Enumeration date
12/02/2005
Last updated
07/08/2007
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