SUSAN ELAINE THALLER

MILWAUKEE, WI
NPI1689957755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  4582-033)
Enumeration Date2011-09-24
Last Update Date2025-01-02
Business Address
SUSAN ELAINE THALLER
2025 E NEWPORT AVE
MILWAUKEE, WI 53211-2906
Phone number: 414-229-7429
Mailing Address
SUSAN ELAINE THALLER
2025 E NEWPORT AVE
MILWAUKEE, WI 53211-2906
Phone number: 414-229-7429