Provider Demographics
NPI:1083752349
Name:TOTZKE, SUSAN JOYCE (CNM)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JOYCE
Last Name:TOTZKE
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4555 W SCHROEDER DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1475
Mailing Address - Country:US
Mailing Address - Phone:414-365-3210
Mailing Address - Fax:414-365-3225
Practice Address - Street 1:1218 W KILBOURN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-1330
Practice Address - Country:US
Practice Address - Phone:414-287-1000
Practice Address - Fax:414-287-1014
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2010-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI56023-032367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife