Individual
MS. SUSAN KAY WALLENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RK BSN
Contact information
Practice address
1510 DEBORAH COURT, PLATTEVILLE, WI 53818
(608) 348-5349
Mailing address
1024 NORTH HOLLOW ROAD, CUBA CITY, WI 53807-9711
(608) 744-8713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
69158030
WI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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