Individual
MRS. SUE E SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4465 S 61ST ST, GREENFIELD, WI 53220-3403
(414) 801-7378
Mailing address
4465 S 61ST ST, GREENFIELD, WI 53220-3403
(414) 801-7378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26265031
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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