Individual
SUZETTE MICHELE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 THOMAS PL, ARENA, WI 53503-9660
(608) 333-8229
Mailing address
1004 GEORGENE ST, DODGEVILLE, WI 53533-2212
(608) 425-8906
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
261746
WI
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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