Organization
LAURA SUNN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI GAVAGAN (OFFICE MANAGER)
(262) 654-7866
Entity
Organization
Contact information
Practice address
5407 8TH AVE, KENOSHA, WI 53140-3715
(262) 654-7866
Mailing address
5407 8TH AVE, KENOSHA, WI 53140-3715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26059-020
WI
Other
Enumeration date
12/29/2008
Last updated
08/11/2009
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