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Individual

SUSAN E FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1511-029
WI
133V00000X
Registered Dietitian
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1511-029
LICENSE
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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