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NPI Code Detail

MEDICARE: SUZANNE KATHLEEN DUBUQUE

MEDICARE: SUZANNE KATHLEEN DUBUQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner4704207173MI
2363LW0102XWomen's Health Nurse Practitioner12096MN

General Provider Information

NPI Number : 1053874248
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE KATHLEEN DUBUQUE
Provider Business Mailing Address
First Line : 3694 EAGER RD
Second Line :
City : HOWELL
State : MI
Zip : 48855-9778
Country : US
Telephone Number : 517-294-4558
Fax Number :
Provider Business Practice Location Address
First Line : 202 N CEDAR AVE STE 1
Second Line :
City : OWATONNA
State : MN
Zip : 55060-2306
Country : US
Telephone Number : 517-294-4558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2019
Last Update Date : 11/21/2024

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Directions to “ SUZANNE KATHLEEN DUBUQUE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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