Individual
SUZANNE GRIESEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1011 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3431
(414) 258-3600
(414) 258-3604
Mailing address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(262) 898-3933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
825
WI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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