Individual provider · Type 1 NPI
Susan Gruetzmacher, NP
Medical Physician Assistant · Shawano, WI
NPI number
1316972607
Active
Practice location
100 County Road B
Shawano, WI 54166-7072
Fax (715) 524-8164
Mailing address
PO Box 8003
Appleton, WI 54912-8003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 752-033 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1316972607
Susan Gruetzmacher, NP's National Provider Identifier is 1316972607, issued on Jul 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shawano, WI. The record was last updated on Sep 22, 2010.