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Individual

SUZANNE KAY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
645 S MAIN ST, DE FOREST, WI 53532-1421
(608) 846-4736
Mailing address
57 KNUTSON DR, MADISON, WI 53704
(608) 241-7745

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12701
WI

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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