Individual
SUSAN MARTYELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5201 EDEN AVE, STE 190, EDINA, MN 55436-2316
(952) 920-9721
(952) 241-4355
Mailing address
5201 EDEN AVE, STE 190, EDINA, MN 55436-2316
(952) 920-9721
(952) 241-4355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1566
MN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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