Individual
SUSAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4723 HIAWATHA AVE, MINNEAPOLIS, MN 55406-3928
(612) 721-6338
(612) 729-8378
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(763) 268-4169
(763) 268-4240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5659
MN
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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