Individual
MRS. SUSANNE ELISABETH MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4661 N PARKSIDE DR, WAUWATOSA, WI 53225-4447
(414) 464-9785
Mailing address
4661 N PARKSIDE DR, WAUWATOSA, WI 53225-4447
(414) 464-9785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
49287 - 030
WI
163WH0200X
Home Health Registered Nurse
Primary
49287-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35026900
—
WI
Enumeration date
05/11/2007
Last updated
09/11/2025
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