Individual provider · Type 1 NPI

Susan Michelle Luetmer, PA-C

Surgical Physician Assistant · St. Cloud, MN

NPI number 1942589080 Active

Practice location

3701 12th St N, Suite 100
St. Cloud, MN 56303-2255

Call (320) 253-7257 Map

Fax (320) 251-2938

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X01570 (WV)
Surgical Physician Assistant Primary 363AS0400X11268 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1942589080

Susan Michelle Luetmer, PA-C's National Provider Identifier is 1942589080, issued on Aug 8, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 3, 2014.