Individual
C. SUE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 568-1000
(920) 563-0258
Mailing address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 568-1000
(920) 563-0258
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33479 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32137000
—
WI
Enumeration date
07/26/2006
Last updated
07/08/2007
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