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Individual

FRANK J SUSLAVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
(218) 362-6699
Mailing address
23 W CENTRAL ENTRANCE # 160, DULUTH, MN 55811-3433
(218) 722-3700
(218) 722-8705

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
33348
MN
2085N0700X
Neuroradiology Physician
33348
MN
2085N0904X
Nuclear Radiology Physician
33348
MN
2085P0229X
Pediatric Radiology Physician
33348
MN
2085R0202X
Diagnostic Radiology Physician
Primary
33348
MN
2085R0203X
Therapeutic Radiology Physician
33348
MN
2085R0204X
Vascular & Interventional Radiology Physician
33348
MN
2085U0001X
Diagnostic Ultrasound Physician
33348
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296798700
MN
05
31577600
WI
Enumeration date
12/29/2005
Last updated
06/23/2021
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