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Individual

MRS. SUSAN D GEISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1022 FISHER RD, SOUTH BELOIT, IL 61080-1102
(608) 289-5596
Mailing address
1022 FISCHER RD, SOUTH BELOIT, IL 61080-1102
(608) 289-5595

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239475
WI

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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