Individual
MS. SUSAN GAIL DEBRUYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
3600 TOWER AVE, SUPERIOR, WI 54880-5337
(715) 394-5411
(715) 392-5086
Mailing address
3600 TOWER AVE, SUPERIOR, WI 54880-5337
(715) 394-5411
(715) 392-5086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002091-016
WI
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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