Individual
SUSAN YETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13724 84TH AVE, CHIPPEWA FALLS, WI 54729-8840
(715) 828-9849
Mailing address
13724 84TH AVE, CHIPPEWA FALLS, WI 54729-8840
(715) 828-9849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125497-30
WI
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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