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Individual

DR. SUSAN LYNNE FARBER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10 MISSLE AVE, MINOT AFB, ND 58705-5003
(701) 723-5454
(701) 723-5769
Mailing address
164 DELTA DR, MINOT AFB, ND 58704-1301
(701) 727-6904

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000030948
TN

Other

Enumeration date
11/20/2005
Last updated
07/08/2007
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