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1972627867
SUSANNE GERTRAUD WILD
PHOENIX, AZ
NPI
1972627867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 35547)
Enumeration Date
2007-03-18
Last Update Date
2012-12-26
Business Address
Dr. SUSANNE GERTRAUD WILD M.D.
1300 N 12TH ST #605
PHOENIX, AZ 85006-2848
Phone number: 602-839-4567
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Mailing Address
Dr. SUSANNE GERTRAUD WILD M.D.
1300 N 12TH ST #605
PHOENIX, AZ 85006-2848
Phone number: 602-839-4567
Copy
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