Individual
MRS. SUSAN H. PERGANDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-6714
Mailing address
1104 BERWICK AVE, SILVER LAKE, WI 53170-1679
(262) 889-8631
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
791-033
WI
Other
Enumeration date
04/02/2006
Last updated
07/08/2007
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