Individual
ALICE ROSALIE SUCHOMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1122 MILL ST W, CANNON FALLS, MN 55009-1824
(507) 263-3951
(507) 263-7652
Mailing address
1122 MILL ST W, CANNON FALLS, MN 55009-1824
(507) 263-3951
(507) 263-7652
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39876
MN
207Q00000X
Family Medicine Physician
Primary
39876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543325800
—
MN
Enumeration date
07/18/2006
Last updated
11/08/2024
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