Individual
MRS. SUE E MOHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CSA
Contact information
Practice address
1300 STATE ST STE 2C, LA PORTE, IN 46350-3134
(219) 325-0152
(219) 325-8621
Mailing address
1300 STATE ST STE 2C, LA PORTE, IN 46350-3134
(219) 325-0152
(219) 325-8621
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
28081333A
IN
246ZC0007X
Surgical Assistant
Primary
2989
IN
Other
Enumeration date
02/12/2007
Last updated
12/09/2008
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