Individual
SUZETTE CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CDE CPT
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1937
Mailing address
16659 SUGAR HILLS RD, GRAND RAPIDS, MN 55744-5981
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R179169-3
MN
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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