| Susan Swedenburg, | |
|
6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | |
| (952) 993-4900 | |
| Not Available |
| Full Name | Susan Swedenburg |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6000 Earle Brown Dr, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144207184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36055 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Swedenburg, 3800 Park Nicollet Blvd, Credentialing, Minneapolis, MN 55416-2527 Ph: () - | Susan Swedenburg, 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 Ph: (952) 993-4900 |
Mark Depaolis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Dr. Saima Mahmood Ahmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6845 Lee Ave N - Ms 31400a, Healthpartners Brooklyn Center Clinic, Brooklyn Center, MN 55429 Phone: 763-569-0300 Fax: 763-569-0311 | |
Verna Hillstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6601 Shingle Creek Pkwy, Ste 400, Brooklyn Center, MN 55430 Phone: 612-873-8800 | |
Dr. Tria Lor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5415 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-581-5630 | |
Dr. Anne Louise Gair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6845 Lee Ave N, Brooklyn Center, MN 55429 Phone: 763-503-4400 Fax: 763-503-4395 | |
Brooke Van Dyke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 |