Provider Demographics
NPI:1902020258
Name:KRANZ, SUSAN KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KAY
Last Name:KRANZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3470 LEXINGTON AVE N
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8082
Mailing Address - Country:US
Mailing Address - Phone:651-484-1000
Mailing Address - Fax:651-484-2663
Practice Address - Street 1:3470 LEXINGTON AVE N
Practice Address - Street 2:SUITE 105
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-8082
Practice Address - Country:US
Practice Address - Phone:651-484-1000
Practice Address - Fax:651-484-2663
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1507111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner