Antoinette B Sueflohn, SLP is a
Speech-language Pathologist based in Random Lake, Wisconsin. Antoinette B Sueflohn is licensed to practice in Wisconsin (license number 1846-154) and her current practice location is
402 1st St, Random Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 994-9700.
NPI number for Antoinette B Sueflohn is 1548771785 and her current mailing address is Po Box 323, Random Lake, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548771785.
Healthcare Provider's Profile
Full Name | Antoinette B Sueflohn |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 402 1st St, Random Lake, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548771785
- Provider Enumeration Date: 10/16/2017
- Last Update Date: 10/16/2017
Medical Identifiers
Medical identifiers for Antoinette B Sueflohn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548771785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 1846-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antoinette B Sueflohn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Antoinette B Sueflohn, SLP Po Box 323, Random Lake, WI 53075-0323 Ph: (920) 994-9700 | Antoinette B Sueflohn, SLP 402 1st St, Random Lake, WI 53075-1772 Ph: (920) 994-9700 |
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