Staudt, Susan R

Staudt, Susan R is an individual health care provider with primary practice located at B515 Mayo Memorial Building 420 Delaware St Se, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Staudt, Susan R can be contacted via phone (612) 624-9990.

Contact Information

Primary practice address
B515 Mayo Memorial Building 420 Delaware St Se Minneapolis MN 55455
Phone: (612) 624-9990
Fax: (612) 626-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 43128 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43128 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 66314 Minnesota

Profile Details

NPI number 1043266224
LBN Legal business name Staudt, Susan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Oct 5th, 2020 - about 4 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 1043266224 NPPES
Wisconsin MEDICAID 1043266224
Wisconsin Other 006006261K

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