Sia Su, Walter Lo

Sia Su, Walter Lo is an individual health care provider with primary practice located at 1200 6Th Ave N Centra Care Clinic, St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sia Su, Walter Lo can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 6Th Ave N Centra Care Clinic St Cloud MN 56303-2735
Phone: (320) 251-2700
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37684 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37684 Minnesota

Profile Details

NPI number 1477542371
LBN Legal business name Sia Su, Walter Lo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Dec 21st, 2015 - about 9 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 1477542371 NPPES
Other 526021 ARAZ GROUP AMERICAS PPO
Other 114449 ARAZ GROUP AMERICAS PPO
MEDICAID 242513100 ARAZ GROUP AMERICAS PPO
Other HP21690 ARAZ GROUP AMERICAS PPO
Other 0407506 ARAZ GROUP AMERICAS PPO
Other 242513100 ARAZ GROUP AMERICAS PPO
Other 1013234 ARAZ GROUP AMERICAS PPO
Other 379K3S1 ARAZ GROUP AMERICAS PPO

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