Individual
MRS. SUSAN KAY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20 COPELAND AVE, SUITE 200, LA CROSSE, WI 54603-3401
(608) 784-5249
Mailing address
20 COPELAND AVE, SUITE 200, LA CROSSE, WI 54603-3401
(608) 784-5249
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
WI
Other
Enumeration date
08/08/2007
Last updated
08/14/2007
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