Individual
MS. CYNTHIA FRANCES SUSEDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
(920) 993-5037
Mailing address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
(920) 993-5037
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-081304
IL
207P00000X
Emergency Medicine Physician
33577
WI
207Q00000X
Family Medicine Physician
Primary
33577
WI
Other
Enumeration date
02/02/2007
Last updated
05/24/2023
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