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Individual

SUZANNE M. SASS-DERUYTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-4780
(262) 928-5588
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-4780
(262) 928-5588

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3317-33
WI

Other

Enumeration date
04/04/2008
Last updated
03/04/2011
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