Individual
SUSAN CALEWARTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8154 CAMBER LN., PULASKI, WI 54162
(920) 822-8234
Mailing address
2991 LOGTOWN RD, OCONTO, WI 54153
(920) 373-1986
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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