Individual
MRS. SUZANNE RENEE BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 W 78TH ST, SUITE 225, EDINA, MN 55439-2516
(952) 946-9777
(952) 946-9888
Mailing address
8100 W 78TH ST, SUITE 225, EDINA, MN 55439-2516
(952) 946-9777
(952) 946-9888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2381
MN
Other
Enumeration date
06/04/2013
Last updated
05/15/2016
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