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Individual

MRS. SUSAN K MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
106 E MAIN ST, BOX 538, CALMAR, IA 52132-7743
(563) 562-3211
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1499033
WI
363LF0000X
Family Nurse Practitioner
Primary
A-073625
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43905000
WI
Enumeration date
12/13/2005
Last updated
04/23/2009
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