Individual
DR. SUE ANN RAVENSCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
30297
MN
Other
Enumeration date
12/14/2005
Last updated
03/11/2021
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