Individual
SUSAN J HADLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13060 ISLE DR, BAXTER, MN 56425-8331
(218) 828-2880
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R074220-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280242200
—
MN
Enumeration date
01/06/2006
Last updated
01/07/2016
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