Individual
GINA SUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5946
(262) 641-8269
Mailing address
3003 WEST GOOD HOPE RD, MILWAUKEE, WI 53209
(262) 641-8269
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
924-146
WI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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