Individual
DR. SUSAN E DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4143 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3339
(612) 824-4163
(612) 724-4857
Mailing address
4143 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3339
(612) 824-4163
(612) 724-4857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19092058
—
MN
01
—
4C766DI
BC
MN
Enumeration date
02/05/2007
Last updated
01/07/2014
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