Minette, Susan E

Minette, Susan E is an individual health care provider with primary practice located at 3601 Minnesota Dr Ste 200 , Bloomington MN 55435-5281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Minette, Susan E can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
3601 Minnesota Dr Ste 200 Bloomington MN 55435-5281
Fax: (612) 879-9116
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29505 Minnesota

Profile Details

NPI number 1598769523
LBN Legal business name Minette, Susan E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 7th, 2023 - about last year

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 1598769523 NPPES
Minnesota MEDICAID 042090500

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