Individual
SUSAN MICHELLE LUETMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3701 12TH ST N, SUITE 100, SAINT CLOUD, MN 56303-2255
(320) 253-7257
(320) 251-2938
Mailing address
3701 12TH ST N, SUITE 100, SAINT CLOUD, MN 56303-2255
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
01570
WV
363AS0400X
Surgical Physician Assistant
Primary
11268
MN
Other
Enumeration date
08/08/2011
Last updated
11/03/2014
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