Organization · NPI-2

Laura Sunn MD Sc

Clinic/Center · Racine, WI

NPI number1447420724
StatusActive
Last updated in NPPESMar 3, 2008

Details

NPI
1447420724
Entity type
Organization (NPI-2)
Legal business name
Laura Sunn MD Sc
Organization subpart
No
Enumeration date
Mar 3, 2008
Last updated
Mar 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center26059-020WIYes

Practice location

5802 Washington Ave Ste 201
Racine, WI 53406-4050

Phone 262-886-5700 · Fax 262-886-4747

Mailing address

1055 Prairie Dr Ste D
Racine, WI 53406-3971

Phone 262-898-7100 · Fax 232-898-7171

Authorized official

Laura A Sunn
President
2628865700

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