SHOSTY SUE ROTH

BRAINERD, MN
NPI1740511831
Former NameSHOSTY SUE HEYBLOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10742)
Enumeration Date2010-01-29
Last Update Date2025-11-05
Business Address
Mrs. SHOSTY SUE ROTH PA-C
2215 S 6TH ST
BRAINERD, MN 56401-5512
Phone number: 218-454-1010
Mailing Address
Mrs. SHOSTY SUE ROTH PA-C
2215 S 6TH ST
BRAINERD, MN 56401-5512
Phone number: 218-454-1010