Susan Lynne Farber, MD

Individual provider Active NPI Pediatrics Physician · Minot Afb, ND

NPI 1366424780 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1366424780
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD0000030948 (TN)
Practice address
10 Missle Ave
Minot Afb, ND 58705-5003
Phone
(701) 723-5454
Fax
(701) 723-5769
NPI assigned
Nov 20, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000030948TNMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD0000030948 TN Yes

Addresses

Primary practice location

10 Missle Ave
Minot Afb, ND 58705-5003

Mailing address

164 Delta Dr
Minot Afb, ND 58704-1301
Phone (701) 727-6904

Other providers in Minot Afb, ND

All providers in Minot Afb, ND · Pediatrics Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.