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Search › Wisconsin › 207Q00000X

Jesse Susa, MD

NPI 1477901395 · on the registry since 2016

Practice

Address
610 W Adams St
Black River Falls, WI 54615
Phone
(715) 284-1867
Organisation at this address
Krohn Clinic Ltd.
Black River Health Inc
Black River Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 330 N 8th Ave E, Duluth, MN
  • 711 W Adams St, Black River Falls, WI

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-30

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