| Doctor Name: | SUSAN NETT |
| NPI Number: | 1225217003 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MPA |
| License Number: | |
| Business Practice Address: | 316 Racine St Menasha, WI - 549522337 |
| Business Phone Number: | 9209673521 |
| Business Fax Number: | 9209675247 |
| Mailing Address: | 316 Racine St, MENASHA |
| State: | WI |
| Postal Code: | 549522337 |
| Phone Number: | 9209673521 |
| Fax Number: | 9209675247 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |