Provider Demographics
NPI:1396809919
Name:DELAP, SUSAN EILEEN (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:EILEEN
Last Name:DELAP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1720 BURNT BOAT DR STE 205
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0801
Mailing Address - Country:US
Mailing Address - Phone:701-751-3737
Mailing Address - Fax:701-751-3738
Practice Address - Street 1:1720 BURNT BOAT DR STE 205
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0801
Practice Address - Country:US
Practice Address - Phone:701-751-3737
Practice Address - Fax:701-751-3738
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ND89422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND21502OtherBCBS
ND260049071OtherRR MEDICARE
ND11796Medicaid
ND11796Medicaid
G82308Medicare UPIN