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Individual

DR. SUSAN KING BAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Mailing address
1511 N WUTHERING HILLS DR, JANESVILLE, WI 53546-3407
(814) 335-2972

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192873-30
WI
363L00000X
Nurse Practitioner
Primary
5045-33
WI
363L00000X
Nurse Practitioner
SP011662
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100025926
WI
Enumeration date
11/29/2011
Last updated
05/30/2023
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