NPI 1013018688
Suzanne T Witterholt, MD
Practice location
- Address
- 9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841
- Phone
- (763) 780-9155
- Mailing address
- 2925 Chicago Ave, Minneapolis, MN 55407-1321
Registered specialties
Pain Medicine (Psychiatry & Neurology) Physician
Primary
Registry record
- NPI
- 1013018688
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Sep 2006
- Record last updated
- 22 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.