Individual
SUSAN MACHUTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E 28TH ST, SUITE H2100, MINNEAPOLIS, MN 55407-3723
(612) 775-3030
(612) 863-1681
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0958576
MN
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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