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Individual

ERICA SUSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPA, RT(R)

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 265-7400
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 353-9913

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
10 MN 1399
MN
247100000X
Radiologic Technologist
457433
MN

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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