Individual
SUSAN ANGEL MEINERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6217 S PACKARD AVE, CUDAHY, WI 53110-3096
(262) 989-7587
Mailing address
7315 W WISCONSIN AVE, WAUWATOSA, WI 53213-3615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7106-15
WI
Other
Enumeration date
06/13/2013
Last updated
06/16/2014
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