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Individual

SUZANNE MARGARET WIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, CNS

Contact information

Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R082225-9
MN

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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