Individual
SUSAN MARIE HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9525
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20540
SANFORD HEALTH PLANS
—
01
—
228693
MIDLANDS CHOICE
IA
01
—
228693
MIDLANDS CHOICE
—
01
—
6279
AVERA HEALTH PLANS
—
01
—
71091
WELLMARK BS
IA
01
—
P00605698
RAILROAD MEDICARE PTAN
IA
Enumeration date
06/22/2006
Last updated
06/04/2021
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