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Susan Port
NPI 1710227509 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5778 Chapin St
Florence, WI 54121 - Phone
- (715) 696-3605
- Fax
- (715) 528-4988
- Organisation at this address
- Nsh Florence Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- WI, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-02-15
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