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Individual

SUSAN D ATAMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-5000
(320) 229-5184
Mailing address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-5000
(320) 229-5184

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34545
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110891
U CARE
01
2114081
FIRST HEALTH PLAN
01
300508900
MEDICAL ASSISTANCE
01
3300075
MEDICA HEALTH PLANS
01
34545
LICENSE NUMBER
MN
01
500R1AP
BLUE CROSS BLUE SHIELD
01
600900
ARAZ GROUP AMERICAS PPO
01
6D055AP
BLUE CROSS BLUE SHIELD
01
986002
PREFERRED ONE
01
HP25401
HEALTH PARTNERS
Enumeration date
10/26/2005
Last updated
03/07/2023
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