Individual
SUSAN EVELYN MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
(715) 349-2504
Mailing address
N3710 COUNTY HIGHWAY K, SHELL LAKE, WI 54871-8660
(715) 416-0701
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6329-16
WI
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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