Susan Heidmann Obertin

NPI #1417142555 in New London, Wisconsin

Provider Information

NPI Number: 1417142555
Entity Type: Individual
Name: Susan Heidmann Obertin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 12, 2007
Last Updated: Sep 12, 2007

Practice Location

Address: 1405 MILL ST
City: New London
State: Wisconsin
ZIP Code: 54961-2155
Phone: (920) 531-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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