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 Date2013-09-25
Business Address
-- SUSAN ELAINE THALLER
2320 W BURLEIGH ST
MILWAUKEE, WI 53206-1751
Phone number: 414-431-9563
Mailing Address
-- SUSAN ELAINE THALLER
2320 W BURLEIGH ST
MILWAUKEE, WI 53206-1751
Phone number:
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