| NPI | 1871557991 |
|---|---|
| Former Name | SUSAN JEAN TRUCHINSKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 36386) |
| 207Q00000X Family Medicine (Licence: MN 45354) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-01-28 |