Individual
MRS. SUSAN BONNIE PULKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
305 HENES PARK DR, MENOMINEE, MI 49858-1417
(815) 543-3352
Mailing address
305 HENES PARK DR, MENOMINEE, MI 49858-1417
(815) 543-3352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7599
WI
Other
Enumeration date
01/14/2008
Last updated
06/14/2023
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