Provider Demographics
NPI:1366419400
Name:VIGGIANO, SUZANNE R (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:R
Last Name:VIGGIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35408207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN37Q58VIOtherBLUE CROSS BLUE SHIELD
MN755713200OtherMEDICAL ASSISTANCE
MN0800060OtherMEDICA
MNF46233OtherHEALTH PARTNERS
MN119390C754OtherUCARE MINNESOTA
MN180032409OtherRR MEDICARE
MN0800014OtherMEDICA DUEL SOLUTIONS
MN119390C754OtherUCARE FOR SENIORS
MN575391OtherAMERICA'S PPO/TPA
MN960561015314OtherPREFERREDONE
MN104673OtherPATIENT CHOICE
MN119390C754OtherUCARE FOR SENIORS
MNF46233OtherHEALTH PARTNERS