Larson, Susan Manz

Larson, Susan Manz is an individual health care provider with primary practice located at 2424 S 90Th St Suite 500, West Allis WI 53227-2455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Larson, Susan Manz can be contacted via phone (414) 328-8600.

Contact Information

Primary practice address
2424 S 90Th St Suite 500 West Allis WI 53227-2455
Phone: (414) 328-8600
Fax: (414) 328-8686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 31194020 Wisconsin

Profile Details

NPI number 1003806795
LBN Legal business name Larson, Susan Manz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jan 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003806795 NPPES
Wisconsin MEDICAID 31609800

Popular Providers