Individual
MS. SUZANNE LOIS ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1601 GOLF COURSE RD, GRAND ITASCA CLINIC AND HOSPITAL, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Mailing address
721 10TH AVE NW, GRAND RAPIDS, MN 55744
(218) 326-1697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R102885-8
MN
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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