Individual
SUZANNE M TANNER-BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45141
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
44355
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
45141
MN
208100000X
Physical Medicine & Rehabilitation Physician
45141
MN
Other
Enumeration date
06/09/2005
Last updated
11/16/2023
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