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Individual

DR. SUSAN J POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10125 W NORTH AVE, MILWAUKEE, WI 53226-2426
(414) 771-1639
Mailing address
W287N2212 STUART DR, PEWAUKEE, WI 53072-5044
(262) 695-6788

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38662
WI

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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