Individual
SUSAN A. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CD
Contact information
Practice address
123 HOSPITAL DR, STE 1004, WATERTOWN, WI 53098-3331
(920) 206-0666
(920) 206-0688
Mailing address
2301 SUN VALLEY DR STE 200, DELAFIELD, WI 53018-2318
(262) 646-6426
(262) 646-2498
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
535029
WI
Other
Enumeration date
03/20/2007
Last updated
10/14/2010
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