AMY BLAKE SUSNOW

MADISON, WI
NPI1043246994
Former NameAMY S BLAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: WI  56132)
Additional Taxonomies207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: CO  DR.0058101)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  FE60028232)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2006-06-23
Last Update Date2022-07-03
Business Address
Dr. AMY BLAKE SUSNOW M.D.
600 HIGHLAND AVE
MADISON, WI 53792-2274
Phone number: 608-263-6420
Mailing Address
Dr. AMY BLAKE SUSNOW M.D.
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: