Individual
MRS. LAURA C. SUKOWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 935-8000
(414) 219-7769
Mailing address
PO BOX 80257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 344-3396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376516351
—
WI
05
—
32286800
—
WI
Enumeration date
02/09/2006
Last updated
05/30/2018
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