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Juliana Ward Suppa
NPI 1679096069 · on the registry since 2017
Practice
- Address
- 891 Belsly Blvd
Moorhead, MN 56560 - Phone
- (218) 287-4338
- Fax
- (218) 287-5928
- Clinicians at this address
- 106
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 174400000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota