SUSAN MICHELLE LUETMER PA-C NPI 1942589080

NPI Information

NPI: 1942589080
Provider Name: SUSAN MICHELLE LUETMER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3701 12TH ST N
SUITE 100
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 253-7257
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Susan Michelle Luetmer, PA-C is a surgical physician assistant in Saint Cloud, MN with 13 years of experience. Susan Michelle Luetmer, PA-C NPI is 1942589080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3701 12TH ST N
SUITE 100
SAINT CLOUD, MN
ZIP 56303-255
Phone: (320) 253-7257
Fax: (320) 251-2938

The NPI 1942589080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2011 and was last updated on 11/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	01570	WEST VIRGINIA	No
2	363AS0400X	Physician Assistant	Surgical	11268	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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