Individual
SUSAN JANE JANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 W THOMAS ST, WAUSAU, WI 54401-5986
(715) 848-6288
Mailing address
1014 W THOMAS ST, WAUSAU, WI 54401-5986
(715) 848-6288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103294-82
WI
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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