Individual
SUSAN ELIZABETH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W2850 STATE HIGHWAY 28, SHEBOYGAN FALLS, WI 53085
(920) 467-1800
(920) 467-1900
Mailing address
W2850 STATE HIGHWAY 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31334
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31626800
—
WI
Enumeration date
02/24/2006
Last updated
08/02/2018
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