Walter Lo Sia Su, MD
Hospitalist in St Cloud, MN. Individual provider (NPI-1).
NPI number1477542371
StatusActive
Last updated in NPPESDec 21, 2015
Details
- NPI
- 1477542371
- Entity type
- Individual (NPI-1)
- Name
- Walter Lo Sia Su
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Last updated
- Dec 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 37684 | MN | Yes |
| 207R00000X | Internal Medicine | 37684 | MN |
Practice location
1200 6th Ave NCentra Care Clinic
St Cloud, MN 56303-2735
Phone 320-251-2700 · Fax 320-240-2118
Mailing address
1200 6th Ave NCentra Care Clinic
St Cloud, MN 56303-2735
Phone 320-251-2700 · Fax 320-240-2118
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