Individual
SUSAN FLANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCNP
Contact information
Practice address
FAIRVIEW LAKES CHISAGO CLINIC, 11725 STINSON AVE, CHISAGO CITY, MN 55013-9540
(651) 257-8499
Mailing address
25323 PIGEON LOFT RD NE, STACY, MN 55079-3161
(651) 462-0231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 066120-3
MN
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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