person
Susan Gruetzmacher, NP
Medical Physician Assistant in Shawano, Wisconsin
NPI 1316972607

Susan Gruetzmacher is a Medical Physician Assistant based in Appleton, WI and is specialized in Medical. Susan Gruetzmacher practices in Shawano, WI and has the professional credentials of NP. The NPI Number for Susan Gruetzmacher is 1316972607 and holds a License No. 752-033 (Wisconsin).

The current practice location address for Susan Gruetzmacher is 100 County Road B, Shawano, WI and can be reached out via phone at 715-524-2161 and via fax at 715-524-8164.

Location: 100 County Road B, Shawano, WI, 54912-8003
person
Provider Profile Details
NPI Number
1316972607
Provider Name
Susan Gruetzmacher
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 County Road B, Shawano, WI, 54912-8003
Phone Number
715-524-2161
Fax Number
715-524-8164
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43839500 05 WI
institution
Provider Business Practice Location Address Details
Address
100 County Road B
City
State
Zip
54166-7072
Phone Number
715-524-2161
Fax Number
715-524-8164
person
Provider Business Mailing Address Details
Address
100 County Road B
City
State
Zip
54166-7072
Phone Number
715-524-2161
Fax Number
715-524-8164
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
752-033 (Wisconsin)
Definition
Definition to come...
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