Individual
SUSAN F KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
600 YORK ST, MANITOWOC, WI 54220-6845
(920) 320-6705
(920) 320-6701
Mailing address
600 YORK ST, MANITOWOC, WI 54220-6845
(920) 320-6705
(920) 320-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1078
WI
207VG0400X
Gynecology Physician
1078
WI
207VX0000X
Obstetrics Physician
Primary
1078
WI
363L00000X
Nurse Practitioner
1078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43920200
—
WI
Enumeration date
08/28/2006
Last updated
09/11/2025
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