Suzanne Detlefson
NPI #1184965444 in Minnetrista, Minnesota
Provider Information
- NPI Number
- 1184965444
- Entity Type
- Individual
- Name
- Suzanne Detlefson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Mar 12, 2013
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 905 MAPLECREST DR
- City
- Minnetrista
- State
- Minnesota
- ZIP Code
- 55364-8935
- Phone
- (612) 924-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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