Individual
SUSAN L BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
191 THEATER RD, ONALASKA, WI 54650-8679
(608) 392-5000
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2364
WI
363LP0200X
Pediatric Nurse Practitioner
2364
WI
Other
Enumeration date
06/09/2005
Last updated
05/28/2019
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