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Individual

SUSAN MARY CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
Mailing address
1075 HEATHER LN, HARTFORD, WI 53027-9045
(262) 623-1194

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
85188-30
WI
363LF0000X
Family Nurse Practitioner
Primary
8135-33
WI

Other

Enumeration date
09/17/2017
Last updated
11/13/2017
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