Susan D Blom (NPI# 1700957842, PAC ID# 1850339003) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1700957842 |
| PAC ID by PECOS | 1850339003 |
| Professional Enrollment ID | I20050419001153 |
| Full Name | Susan D Blom |
| Address |
905 Forest E Ave Suite 150 Mora MN 55051-1632 |
| Phone Number | 3206796353 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1982 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 905 Forest E Ave, Suite 150, Mora, MN 55051-1632 | 3206796353 |
| Street Address |
905 FOREST E AVE SUITE 150 |
| City | MORA |
| State | MN |
| Zip | 55051-1632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy A Karger | Ophthalmology | County of Kanabec | 20 Union St N, Mora, MN 55051-1326 |
| Jenna L Fore | Chiropractic | 20 Union St N, Mora, MN 55051-1326 | |
| David L Klapmeier | Chiropractic | 114 Maple Ave W, Mora, MN 55051-1369 | |
| Timothy J Vaagenes Sr. | Chiropractic | 119 Lake St S, Suite 2, Mora, MN 55051-1577 | |
| Beth Ann Good | Certified Clinical Nurse Specialist (cns) | 820 Howe Ave, Suite 108, Mora, MN 55051-1766 | |
| David W Kroll | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| William P Paschke | Physician Assistant | St Cloud Orthopedic Associates Ltd | 331 Hwy 65 S, Mora, MN 55051-1899 |
| Stephanie L Piche | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sara A Nielsen | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Breanna M Cook | Physician Assistant | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Find all physicians in zip 55051 | |||
| City | MORA |
| Zip Code | 55051 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MORA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Susan D Blom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.