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Individual

DR. SUSAN JOANNE DIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39957
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-00788
MEDICA CHOICE & PRIMARY
MN
05
0995043
IA
01
1015996
PREFERRED ONE
MN
01
120995
UCARE
MN
01
12R06DI
BCBS
MN
05
699813500
MN
01
768087
ARAZ
MN
01
HP28827
HEALTHPARTNERS
MN
Enumeration date
06/29/2006
Last updated
10/25/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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