Individual
MRS. SUSAN MARIE BUELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNS
Contact information
Practice address
659 BIELENBERG DR, WOODBURY, MN 55125-1706
(651) 259-9710
(651) 259-9780
Mailing address
6331 TAHOE PL, WOODBURY, MN 55125-1470
(612) 562-0984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R1298303
MN
2084P0800X
Psychiatry Physician
R28900
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894638800
—
MN
Enumeration date
09/07/2006
Last updated
08/08/2013
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