Individual
MRS. SUSAN ANN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
433 SLINGER RD UNIT 1, SLINGER, WI 53086-9356
(262) 644-6240
Mailing address
433 SLINGER RD UNIT 1, SLINGER, WI 53086-9356
(262) 644-6240
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39860000
—
WI
Enumeration date
08/27/2007
Last updated
08/27/2007
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