Individual
MRS. SUZANNE KAY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2349 MEMORIAL DR, GREEN BAY, WI 54303-6315
(920) 497-2251
Mailing address
2349 MEMORIAL DR, GREEN BAY, WI 54303-6315
(920) 497-2251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21502 031
WI
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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