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Dr. Amy Blake Susnow, MD
Clinical Genetics (M.D.) Physician in Madison, Wisconsin
NPI 1043246994

Amy Blake Susnow is a Clinical Genetics (M.D.) Physician based in Middleton, WI and is specialized in Clinical Genetics (M.D.). Amy Blake Susnow practices in Madison, WI and has the professional credentials of MD. The NPI Number for Amy Blake Susnow is 1043246994 and holds a License No. DR.0058101 (Wisconsin).

The current practice location address for Amy Blake Susnow is 600 Highland Ave, Madison, WI and can be reached out via phone at 608-263-6420. You can also correspond with Amy Blake Susnow through the mailing address at 7974 UW HEALTH CT, MIDDLETON, WI - 53562-5531 (mailing address contact number: ).

Location: 600 Highland Ave, Madison, WI, 53562-5531
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Provider Profile Details
NPI Number
1043246994
Provider Name
Amy Blake Susnow
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
600 Highland Ave, Madison, WI, 53562-5531
Phone Number
608-263-6420
Fax Number
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028673 01 CO KAISER COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
600 Highland Ave
City
State
Zip
53792-2274
Phone Number
608-263-6420
Fax Number
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Provider Business Mailing Address Details
Address
7974 Uw Health Ct
City
State
Zip
53562-5531
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
License No.
FE60028232 (Washington)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
DR.0058101 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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