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Individual

SUZETTE M. MINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
W186N9523 BANCROFT DR, MENOMONEE FALLS, WI 53051-8009
(262) 502-3570
(262) 502-3572
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(888) 510-0766

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
244
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00725805
RR MEDICARE
WI
Enumeration date
03/24/2009
Last updated
03/04/2013
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