Individual
SUSAN J. BUCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1202 5TH GRANT BLVD, WABASHA, MN 55981-1042
(651) 565-4571
Mailing address
1202 5TH GRANT BLVD, WABASHA, MN 55981-1042
(651) 565-4571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
R074323-1
MN
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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