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Individual

MRS. SUSAN ANN PLATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
420 S GOOD HOPE RD, DE PERE, WI 54115-2433
(920) 339-7838
Mailing address
420 S GOOD HOPE RD, DE PERE, WI 54115-2433

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10657 - 031
WI

Other

Enumeration date
04/03/2008
Last updated
04/03/2008
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