Su, Edward T

Su, Edward T is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Su, Edward T can be contacted via phone (651) 968-5770.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127-7135
Phone: (651) 968-5770
Fax: (651) 968-5775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 47790 Minnesota

Profile Details

NPI number 1033188156
LBN Legal business name Su, Edward T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 2nd, 2015 - about 10 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 1033188156 NPPES
Minnesota MEDICAID 926459100
Minnesota Other P00265354

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