Individual
SUSAN PETERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 S 70TH ST, LINCOLN, NE 68510-2451
(402) 489-3802
(402) 486-7912
Mailing address
2940 JACKSON DR, LINCOLN, NE 68502-5036
(402) 420-7871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
753
NE
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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