Dr. Amy Blake Susnow, MD - Madison, WI

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.

Location: 600 Highland Ave, Madison, WI, 53562-5531

NPI Number

1043246994

Provider Name

Amy Blake Susnow

Credential

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

Identifier	Type	State	Issuer
028673	01	CO	KAISER COMMERCIAL NUMBER

Address

600 Highland Ave

City

Madison

State

Wisconsin

Zip

53792-2274

Phone Number

608-263-6420

Fax Number

Address

600 Highland Ave

City

Madison

State

Wisconsin

Zip

53792-2274

Phone Number

608-263-6420

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Medical Genetics

Speciality

Clinical Genetics (M.D.)

Taxonomy

207SG0201X

License No.

FE60028232 (Washington)

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

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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