| Doctor Name: | SUSAN DE GRAAF |
| NPI Number: | 1134531114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. B.S.N. C.L.C. |
| License Number: | 96673-30 |
| Business Practice Address: | 1112 Center Ave Oostburg, WI - 530701349 |
| Business Phone Number: | 4142183650 |
| Business Fax Number: | |
| Mailing Address: | 1112 Center Ave, OOSTBURG |
| State: | WI |
| Postal Code: | 530701349 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 96673-30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |