Individual
MRS. SUSAN ANN MERKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N74W24251 OVERLAND RD, SUSSEX, WI 53089-1991
(262) 820-9668
Mailing address
N74W24251 OVERLAND RD, SUSSEX, WI 53089-1991
(262) 820-9668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25750-31
WI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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