Search › Wisconsin › 1223P0300X
Susan Stacker
NPI 1306903786 · on the registry since 2007
Practice
- Address
- 1220 N 6 Street
Wausau, WI 54401 - Phone
- (715) 845-7759
- Fax
- (715) 845-4509
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 1223P0300X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin