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1043271141
SUSAN J DITMANSON
SAINT PAUL, MN
NPI
1043271141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MN 31264)
Enumeration Date
2006-03-29
Last Update Date
2011-12-05
Business Address
-- SUSAN J DITMANSON MD
347 SMITH AVE N SUITE 203
SAINT PAUL, MN 55102-2387
Phone number: 651-241-7733
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Mailing Address
-- SUSAN J DITMANSON MD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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