Susan K. Mahle M.D.

NPI 1033186622 - Pediatrics - 208000000X

NPI Details
NPI 1033186622
Gender Female
Enumeration Date 03/02/2006
Last Updated 09/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
12720 BASS LAKE RD
MAPLE GROVE MN, 55369-6307, US
Phone (763) 559-2861
Fax (763) 559-1338
Business Location
12720 BASS LAKE RD
MAPLE GROVE MN, 55369-6307, US
Phone (763) 559-2861
Fax (763) 559-1338
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 23762
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According to our database, Dr. Susan K. Mahle M.D. NPI is 1033186622, taxonomy code is 208000000X and license number is 23762, license state is located at Minnesota. Susan K. Mahle M.D. physically located at 12720 Bass Lake Rd, Maple Grove MN, 55369-6307. NPI Number Susan K. Mahle M.D. has the Individual type.

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1033186622 NPI number is provided on an as is basis without warranty of any kind. 1033186622 is maintained by the National Plan & Provider Enumeration System. The contents of Susan K. Mahle M.D. are for informational purposes only.