Provider Demographics
NPI:1376909382
Name:BARKER, SUZANNE MARIE
Entity Type:Individual
Prefix:MISS
First Name:SUZANNE
Middle Name:MARIE
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 COMMERCE DR
Mailing Address - Street 2:STE 290
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9232
Mailing Address - Country:US
Mailing Address - Phone:651-714-3898
Mailing Address - Fax:651-344-0820
Practice Address - Street 1:700 COMMERCE DR
Practice Address - Street 2:STE 290
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9232
Practice Address - Country:US
Practice Address - Phone:651-714-3898
Practice Address - Fax:651-344-0820
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program