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MRS. SUSIE NUMMERDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
18980 GLEN KERRY DR, BROOKFIELD, WI 53045-4800
(262) 860-1661
(262) 860-1661
Mailing address
18980 GLEN KERRY DR, BROOKFIELD, WI 53045-4800
(262) 860-1661

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118792-30
WI

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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