Individual
SUSAN ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102
(651) 241-8000
Mailing address
333 SMITH AVE N # 700, SAINT PAUL, MN 55102-2344
(651) 241-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12279
MN
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/16/2016
Last updated
03/11/2021
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