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Individual
DR. SUSAN M RETZACK
Active
Individual
DR. SUSAN M RETZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28582
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
28582
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003006261O
HUMANA
—
05
—
1043263791
—
WI
Enumeration date
05/17/2006
Last updated
03/13/2024
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