Individual
SUSAN D PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3905 DAKOTA ST, ALEXANDRIA, MN 56308-3391
(320) 763-4135
(866) 431-0804
Mailing address
3905 DAKOTA ST, ALEXANDRIA, MN 56308-3391
(320) 763-4135
(866) 431-0804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27714
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080050456
RR MEDICARE
MN
05
—
492267100
—
MN
Enumeration date
01/20/2006
Last updated
11/23/2021
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