Individual
DR. SUSAN MCCLELLAN ASCH
Active
Individual
DR. SUSAN MCCLELLAN ASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
31241
MN
207NP0225X
Pediatric Dermatology Physician
33053
WI
208000000X
Pediatrics Physician
31241
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31793300
—
WI
05
—
974785100
—
MN
Enumeration date
12/07/2005
Last updated
05/03/2023
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