Susan Heidmann Obertin

NPI 1417142555 - Physical Therapist - 225100000X

NPI Details
NPI 1417142555
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1405 MILL ST
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2000
Fax (920) 531-2098
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Taxonomy Code 225100000X
License State Wisconsin
License Number 1680-024
Remove 1417142555 NPI Number

According to our database, Susan Heidmann Obertin NPI is 1417142555, taxonomy code is 225100000X and license number is 1680-024, license state is located at Wisconsin. Susan Heidmann Obertin physically located at 1405 Mill St, New London WI, 54961-2155. NPI Number Susan Heidmann Obertin has the Individual type.

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1417142555 NPI number is provided on an as is basis without warranty of any kind. 1417142555 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Heidmann Obertin are for informational purposes only.