Individual
DR. SUSAN E. RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
146 W MILL ST, COLUMBUS, WI 53925-1585
(920) 623-1106
(920) 623-1107
Mailing address
146 W. MILL STREET, COLUMBUS, WI 53925
(920) 623-1106
(920) 623-1107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3512-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000400
—
WI
Enumeration date
08/02/2006
Last updated
07/08/2007
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