Edison, Mara Suzanne

Edison, Mara Suzanne is an individual health care provider with primary practice located at 4855 W Arrowhead Rd , Hermantown MN 55811-3936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Edison, Mara Suzanne can be contacted via phone (218) 786-3540.

Contact Information

Primary practice address
4855 W Arrowhead Rd Hermantown MN 55811-3936
Phone: (218) 786-3540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64087 Minnesota

Profile Details

NPI number 1154718484
LBN Legal business name Edison, Mara Suzanne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Aug 11th, 2021 - about 5 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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