Individual
SUSAN M IWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7330
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7330
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
324156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12937
DEAN
WI
01
—
390807236FE
UNITY
WI
05
—
41137800
—
WI
01
—
640003874
RAILROAD
WI
Enumeration date
11/07/2005
Last updated
05/03/2021
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