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Individual

SUSAN L FENRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BC-HIS

Contact information

Practice address
2223 S MEMORIAL PL, SHEBOYGAN, WI 53081-3715
(920) 452-0213
(920) 208-4301
Mailing address
2223 S MEMORIAL PL, SHEBOYGAN, WI 53081-3715
(920) 452-0213
(920) 208-4301

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
612
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42822700
WI
Enumeration date
05/29/2007
Last updated
09/22/2014
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