Susan Fagre
MD | Pediatrics | Female
Susan Fagre, MD is a Saint Paul, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan Fagre is
2004 Ford Pkwy, Saint Paul, Minnesota - 55116-1931. She can be contacted on phone at
651-241-9600 and fax number 651-241-9593.
Susan Fagre is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan Fagre is
1548285778 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 22 Dec, 2011.
Susan Fagre license number is
33870 for Pediatrics (208000000X) in Minnesota.
Susan Fagre is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susan Fagre basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susan Fagre |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susan Fagre address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2004 Ford Pkwy
Saint Paul, MN, 55116-1931
United States |
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| Phone Number : | 651-241-9600 |
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| Fax Number : | 651-241-9593 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548285778 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 22 Dec, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Fagre are as mentioned. Primary taxonomy code for Susan Fagre, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33870 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Susan Fagre such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 103208900 | MEDICAID | MN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2925 Chicago Ave
Minneapolis, MN, 55407-1321
United States |
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| Phone Number : | 612-262-5000 |
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Business Location:
Patients can refer following map for directions to
Susan Fagre practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.