JESSE JOHN SUSA

BLACK RIVER FALLS, WI
NPI1477901395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  69790-20)
Enumeration Date2016-06-01
Last Update Date2019-07-25
Business Address
JESSE JOHN SUSA MD
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Phone number: 715-284-1867
Mailing Address
JESSE JOHN SUSA MD
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615-9110
Phone number: 715-284-1867
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