Individual
MRS. MICHELLE M SUCHOMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9401 OLD SAUK RD, MIDDLETON, WI 53562-4409
(608) 203-8102
(608) 203-8104
Mailing address
9401 OLD SAUK RD, MIDDLETON, WI 53562-4409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5881-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40305100
—
WI
Enumeration date
05/24/2007
Last updated
03/22/2016
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