Individual
SUSAN M BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
Mailing address
7816 SHOREWOOD DR, SALEM, WI 53168-9544
(262) 537-3691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2317
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43021300
—
WI
Enumeration date
07/22/2008
Last updated
12/28/2021
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