Individual provider · Type 1 NPI
Amy Blake Susnow, MD
Clinical Genetics (M.D.) Physician · Madison, WI
NPI number
1043246994
Active
Practice location
600 Highland Ave
Madison, WI 53792-2274
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | DR.0058101 (CO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | FE60028232 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | 56132 (WI) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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About NPI 1043246994
Amy Blake Susnow, MD's National Provider Identifier is 1043246994, issued on Jun 23, 2006. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Madison, WI. The record was last updated on Jul 3, 2022.