Individual
SUSAN C MINIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15905 HEATHER HILL DR, BROOKFIELD, WI 53005-2267
(262) 781-6965
(262) 781-6965
Mailing address
PO BOX 387, BROOKFIELD, WI 53008-0387
(262) 781-6965
(262) 781-6965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25365-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31368600
—
WI
Enumeration date
07/13/2006
Last updated
04/18/2008
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