Susan Jane Janz
Specialist in Wausau, WI. Individual provider (NPI-1).
NPI number1164065025
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1164065025
- Entity type
- Individual (NPI-1)
- Name
- Susan Jane Janz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2019
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 103294-82 | WI | Yes |
Practice location
1014 W Thomas StWausau, WI 54401-5986
Phone 715-848-6288
Mailing address
1014 W Thomas StWausau, WI 54401-5986
Phone 715-848-6288
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