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1285234526
SUSAN LIETZ
WAUWATOSA, WI
NPI
1285234526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 10019)
Enumeration Date
2020-10-27
Last Update Date
2025-01-29
Business Address
SUSAN LIETZ APNP
1155 N MAYFAIR RD
WAUWATOSA, WI 53226-3462
Phone number: 414-955-7199
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Mailing Address
SUSAN LIETZ APNP
1155 N MAYFAIR RD
WAUWATOSA, WI 53226-3462
Phone number: 414-955-7199
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