Individual
SUZANNE VICTORIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
141 SIEGLER ST, DEPT OF VETERANS AFFAIRS, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Mailing address
141 SIEGLER ST, DEPT OF VETERANS AFFAIRS, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
44341
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34275300
—
WI
Enumeration date
07/14/2006
Last updated
12/13/2021
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