Individual
SUSAN M SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45474
WI
207P00000X
Emergency Medicine Physician
Primary
45612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083414900
—
MN
Enumeration date
02/22/2006
Last updated
09/15/2022
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