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Individual

SUSAN A SANFILIPPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3200 SHORE DR, MARINETTE, WI 54143-4292
(715) 732-8610
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(715) 732-8610

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3662-33
WI

Other

Enumeration date
02/25/2009
Last updated
12/16/2019
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