Individual
SUSAN M RICHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 CENTRE POINTE DR, SUITE 200, ROSEVILLE, MN 55113-1102
(651) 639-9150
(651) 639-9153
Mailing address
3050 CENTRE POINTE DR, SUITE 200, ROSEVILLE, MN 55113-1102
(651) 639-9150
(651) 639-9153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30998
MN
2083X0100X
Occupational Medicine Physician
30998
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466795600
—
MN
Enumeration date
06/16/2006
Last updated
03/04/2016
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