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Individual

SUZANNE M OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
401 CARLSON PKWY, MAIL ROUTE CP320, MINNETONKA, MN 55305-5359
(952) 992-2000
(952) 992-3039
Mailing address
40421 COUNTY ROAD 90, MAZEPPA, MN 55956-9801
(612) 599-9869

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
238908-21
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804024900
MN
Enumeration date
10/10/2005
Last updated
08/30/2011
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