Individual
MS. SUSAN L BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 456-4170
(414) 456-6543
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 456-4170
(414) 456-6543
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2163
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002806261O
HUMANA
—
05
—
1396796777
—
WI
Enumeration date
05/12/2006
Last updated
02/11/2013
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