Individual
DR. SUSAN M MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59498
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2010
Last updated
01/30/2025
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