Individual
SUSAN MITCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548
(715) 358-1135
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
791
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42952500
—
WI
Enumeration date
08/31/2006
Last updated
12/19/2018
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