Individual
DR. SHARON R ROBERTS-SUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 CARR ROAD, PLYMOUTH, WI 53073-0600
(920) 893-3937
(920) 892-6668
Mailing address
100 CARR ROAD, PO BOX 600, PLYMOUTH, WI 53073-0600
(920) 893-3937
(920) 892-6668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI2028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38526500
—
WI
Enumeration date
08/18/2005
Last updated
01/22/2013
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