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Individual
SUZANNE C BLOOMHUFF
Active
Individual
SUZANNE C BLOOMHUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43218-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34121300
—
WI
01
—
P00079794
RR MEDICARE
—
Enumeration date
07/01/2006
Last updated
03/06/2012
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