Provider Demographics
NPI:1487745394
Name:NORWICK, SUSANN BORDINI (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:SUSANN
Middle Name:BORDINI
Last Name:NORWICK
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2727 N GRANDVIEW BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-6100
Mailing Address - Country:US
Mailing Address - Phone:262-542-8402
Mailing Address - Fax:262-542-4436
Practice Address - Street 1:2727 N GRANDVIEW BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-6100
Practice Address - Country:US
Practice Address - Phone:262-542-8402
Practice Address - Fax:262-542-4436
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI21731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry