Individual
MRS. SUSAN KAY CHOBANOV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 MCKINLEY BLVD, EAGLE RIVER, WI 54521-8453
(715) 477-2198
Mailing address
1897 MCKINLEY BLVD, EAGLE RIVER, WI 54521-8453
(715) 477-2198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122740
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38324400
—
WV
Enumeration date
03/27/2006
Last updated
07/09/2007
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