Individual
MRS. SUZANNE NADRA HAVICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 531-2400
(920) 531-2404
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
13732
WI
207Q00000X
Family Medicine Physician
Primary
77590
WI
Other
Enumeration date
07/09/2009
Last updated
11/03/2022
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