Individual
SUSAN MARIE PIECHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
(920) 431-3267
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 431-3267
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
26595
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30636700
—
WI
Enumeration date
07/09/2006
Last updated
07/30/2008
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