MEDICARE: SUZANNE GRIESEMER PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	825	WI

General Provider Information

NPI Number	:	1144712951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE GRIESEMER PTA

Provider Business Mailing Address
First Line	:	1300 S GREEN BAY RD STE 205
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53406-4469
Country	:	US
Telephone Number	:	262-898-3930
Fax Number	:	262-898-3933

Provider Business Practice Location Address
First Line	:	1011 N MAYFAIR RD STE 101
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-3431
Country	:	US
Telephone Number	:	414-258-3600
Fax Number	:	414-258-3604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	06/06/2018

Similar Medicare Providers

1730164534 — FARRELL PROSTHETICS LLC
Practice Location Address:

1011 N MAYFAIR RD , SUITE 100
WAUWATOSA, WI
53226-3431

Practice Phone: 414-259-1950
Practice Fax: 414-259-1533

1003914607 — KENNETH PAUL FERENTCHAK DDS
Practice Location Address:

1011 N MAYFAIR RD , SUITE 303
WAUWATOSA, WI
53226-3431

Practice Phone: 414-771-4480
Practice Fax: 414-771-8862

1851499362 — MARINELLI & FERENTCHAK, DDS, SC
Practice Location Address:

1011 N MAYFAIR RD , SUITE 303
WAUWATOSA, WI
53226-3431

Practice Phone: 414-771-4480
Practice Fax: 414-771-8862

1053412007 — KAREN ANN SWITON PTA
Practice Location Address:

1011 N MAYFAIR RD STE 101
WAUWATOSA, WI
53226-3431

Practice Phone: 142-583-6004
Practice Fax: 414-258-3604

1396806246 — CYNTHIA ANN CLARK LCSW
Practice Location Address:

1011 N MAYFAIR RD , SUITE 304
WAUWATOSA, WI
53226-3431

Practice Phone: 414-453-8380
Practice Fax: 414-443-1635

1699839290 — MISS DEBRA JEAN CESARIO LPC
Practice Location Address:

1011 N MAYFAIR RD , 304
WAUWATOSA, WI
53226-3431

Practice Phone: 414-453-8380
Practice Fax: 414-443-1635

1861549313 — DR. HEIDI LYNN GAHR PSYD
Practice Location Address:

1011 N MAYFAIR RD , SUITE 101
WAUWATOSA, WI
53226-3431

Practice Phone: 414-514-8155
Practice Fax: 414-443-1635

Directions to “ SUZANNE GRIESEMER PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.