Individual
SUSAN KAY BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 17TH AVE NW, ROCHESTER, MN 55901-1373
(507) 358-3637
(507) 358-3637
Mailing address
3805 17TH AVE NW, ROCHESTER, MN 55901-1373
(507) 358-3637
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
959924400029
MN
Other
Enumeration date
08/04/2017
Last updated
08/21/2017
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