Individual
SUSANNA MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 372-3041
Mailing address
7939 JANCING AVE, SPARTA, WI 54656-3666
(608) 487-0230
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
157669-030
WI
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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