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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043266224 | NPPES |
| Wisconsin | MEDICAID | 1043266224 | |
| Wisconsin | Other | 006006261K |
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