Individual
SUSAN MARIE LEONARD GRIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7061
Mailing address
911 W CONANT ST, PORTAGE, WI 53901-1912
(608) 742-2951
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN 1560
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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