Individual
SUZANNE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 EAST 28TH STREET, MINNEAPOLIS, MN 55407
(612) 863-3547
Mailing address
PO BOX 86, LOCK BOX 12-0910, MINNEAPOLIS, MN 55486
(612) 863-3547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27913
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610300600
—
MN
Enumeration date
10/02/2006
Last updated
07/08/2007
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