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Individual

SUZANNE KAYE RUNKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
7600 FRANCE AVE S STE 4100, EDINA, MN 55435-5924
(952) 831-1551
(852) 831-0725
Mailing address
7600 FRANCE AVE S STE 4100, EDINA, MN 55435-5924
(952) 831-1551
(852) 831-0725

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9795
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
664158000
MN
Enumeration date
08/31/2006
Last updated
07/31/2018
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