Individual
SUSAN M JACQUEZ-DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1160 KEPLER DR, 2ND FLOOR, GREEN BAY, WI 54311-8321
(920) 288-5630
(920) 288-5439
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
(920) 288-4539
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45956-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34440300
—
WI
Enumeration date
08/31/2006
Last updated
07/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us