Ditmanson, Susan J

Ditmanson, Susan J is an individual health care provider with primary practice located at 347 Smith Ave N Suite 203, Saint Paul MN 55102-2387. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ditmanson, Susan J can be contacted via phone (651) 241-7733.

Contact Information

Primary practice address
347 Smith Ave N Suite 203 Saint Paul MN 55102-2387
Phone: (651) 241-7733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31264 Minnesota

Profile Details

NPI number 1043271141
LBN Legal business name Ditmanson, Susan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043271141 NPPES
Minnesota MEDICAID 638302500

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