Individual
DR. VINCENT R SUSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DC, MSC
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-5656
Mailing address
ST LUKE'S HOSPITAL, 1244 WISCONSIN AVE, RACINE, WI 53403
(262) 672-7147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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