Individual
MS. SUSAN MARIE PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5891
(608) 785-6315
Mailing address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5891
(608) 785-6315
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
WI
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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