Individual
MS. SUZANNE M ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 682-4563
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43351800
—
WI
05
—
4445100
—
MI
Enumeration date
06/21/2006
Last updated
04/18/2008
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