Individual
SUSAN MARIE SCUFSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 NORTH DR, ELY, MN 55731-8281
(218) 365-5305
(218) 365-2166
Mailing address
2043 NORTH DR, ELY, MN 55731-8281
(218) 365-5305
(218) 365-2166
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
1019569-1-AFC
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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