Individual
SUSAN E. MERTELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 745-9292
(608) 745-9293
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 745-9292
(608) 745-9293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159913-30
WI
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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