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Individual

MS. SUSAN E BAYER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OPA-C

Contact information

Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN9011034259
PREFERREDONE
MN
Enumeration date
01/06/2006
Last updated
07/08/2007
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