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Individual

DR. JONATHAN L SUSA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2651 HILLCREST DRIVE, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801
Mailing address
2651 HILLCREST DRIVE, SUITE 303, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51842
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43549400
WI
Enumeration date
04/16/2008
Last updated
06/01/2023
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