Individual
SUSAN LORRAINE SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
705 S UNIVERSITY AVE, SUITE 180, BEAVER DAM, WI 53916-3053
(920) 356-0040
(920) 356-0056
Mailing address
705 S UNIVERSITY AVE, SUITE 180, BEAVER DAM, WI 53916-3053
(920) 356-0040
(920) 356-0056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9452
WI
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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