Retzack, Susan M
Retzack, Susan M is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Anesthesiology, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Retzack, Susan M can be contacted via phone (414) 266-3560.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Anesthesiology
Milwaukee WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 28582 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 28582 | Wisconsin |
Profile Details
| NPI number | 1043263791 |
|---|---|
| LBN Legal business name | Retzack, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 13th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043263791 | NPPES |
| Other | 003006261O | HUMANA | |
| MEDICAID | 1043263791 | HUMANA |
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