Healthcare Provider Details

I. General information

NPI: 1164592101
Provider Name (Legal Business Name): SUZANNE SCHEUERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 EAST MILL ST
PELICAN RAPIDS MN
56572-4234
US

IV. Provider business mailing address

22609 226TH ST
FERGUS FALLS MN
56537-8150
US

V. Phone/Fax

Practice location:
  • Phone: 218-863-1140
  • Fax:
Mailing address:
  • Phone: 218-736-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: