Individual
MS. SUSAN DIANE MICHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
7269 HIGHWAY 60, CEDARBURG, WI 53012
(262) 377-8350
Mailing address
296 LAUREL LN, FOND DU LAC, WI 54935-5372
(920) 922-1272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1504-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42776800
—
WI
Enumeration date
05/31/2007
Last updated
07/09/2007
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