Individual
SUZANNE ACKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321263
WI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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