Individual
DR. SUZANNE L HUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38830
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644824
—
MN
Enumeration date
06/12/2006
Last updated
02/02/2012
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