Individual
SUSAN KARINE WIGERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
598
MN
367500000X
Certified Registered Nurse Anesthetist
R 144159-0
MN
Other
Enumeration date
05/01/2007
Last updated
10/05/2020
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