| Doctor Name: | SUSAN GRUETZMACHER |
| NPI Number: | 1316972607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 752-033 |
| Business Practice Address: | 100 County Road B Shawano, WI - 541667072 |
| Business Phone Number: | 7155242161 |
| Business Fax Number: | 7155248164 |
| Mailing Address: | Po Box 8003, APPLETON |
| State: | WI |
| Postal Code: | 549128003 |
| Phone Number: | 9209963298 |
| Fax Number: | 9207385787 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 752-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |