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NPI Code Detail

MEDICARE: DR. SUZANNE M. YOUNGQUIST D.C.

MEDICARE:  DR. SUZANNE M. YOUNGQUIST  D.C.
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
1111N00000XChiropractor5016MN

General Provider Information

NPI Number : 1093961385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE M. YOUNGQUIST D.C.
Provider Business Mailing Address
First Line : 8509 JEFFERSON LN N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55445-2119
Country : US
Telephone Number : 763-425-4577
Fax Number : 763-425-2676
Provider Business Practice Location Address
First Line : 8509 JEFFERSON LN N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55445-2119
Country : US
Telephone Number : 763-425-4577
Fax Number : 763-425-2676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 12/29/2015

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Directions to “ DR. SUZANNE M. YOUNGQUIST D.C.” Practice Location

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