Suzanne M. Wallace R.N.

NPI 1710055090 - Registered Nurse - 163W00000X

NPI Details
NPI 1710055090
Gender Female
Enumeration Date 12/02/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7544 COUNTY ROAD P
PRESQUE ISLE WI, 54557-9369, US
Phone (715) 686-7281
Fax
Business Location
7544 COUNTY ROAD P
PRESQUE ISLE WI, 54557-9369, US
Phone (715) 686-7281
Fax
Toxanomy
Taxonomy Code 163W00000X
License State
License Number
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According to our database, Suzanne M. Wallace R.N. NPI is 1710055090, taxonomy code is 163W00000X Suzanne M. Wallace R.N. physically located at 7544 County Road P, Presque Isle WI, 54557-9369. NPI Number Suzanne M. Wallace R.N. has the Individual type.

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1710055090 NPI number is provided on an as is basis without warranty of any kind. 1710055090 is maintained by the National Plan & Provider Enumeration System. The contents of Suzanne M. Wallace R.N. are for informational purposes only.