Individual
DR. SUSAN GERALYN SHIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
17 E 2ND ST, FOND DU LAC, WI 54935-4205
(920) 921-4750
Mailing address
17 E 2ND ST, FOND DU LAC, WI 54935-4205
(920) 921-4750
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
765-025
WI
Other
Enumeration date
02/13/2007
Last updated
07/09/2007
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