Individual
SUSAN SCHLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
237 RADIO DR STE 100, WOODBURY, MN 55125-4478
(651) 275-3000
(651) 275-3027
Mailing address
1719 TOWER DR W, STE 100, STILLWATER, MN 55082-7512
(651) 275-3000
(651) 275-3027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39690
MN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
39690
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738517000
—
MN
01
—
820000223
RAILROAD MEDICARE
MN
Enumeration date
06/15/2005
Last updated
04/20/2020
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