MEDICARE: JAMES MICHAEL SUCHANEK EMT,PERSONALTRAINER

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	310400000X	Assisted Living Facility	0019840	WI

General Provider Information

NPI Number	:	1558294124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL SUCHANEK EMT,PERSONALTRAINER

Provider Business Mailing Address
First Line	:	216 N 10TH ST
Second Line	:
City	:	BLACK RIVER FALLS
State	:	WI
Zip	:	54615-1148
Country	:	US
Telephone Number	:	715-896-2877
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 W JEFFERSON ST
Second Line	:
City	:	BLACK RIVER FALLS
State	:	WI
Zip	:	54615-1063
Country	:	US
Telephone Number	:	715-670-0080
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1699608125 — FORREST HILLS LLC.
Practice Location Address:

313 W JEFFERSON ST
BLACK RIVER FALLS, WI
54615-1063

Practice Phone: 715-670-0080
Practice Fax:

1235301789 — MARION MACY PT
Practice Location Address:

1046 BLACK OAK DR # 1063
SAPPHIRE, NC
28774-7737

Practice Phone: 828-507-4605
Practice Fax:

1568233369 — PT ON THE PLATEAU LLC
Practice Location Address:

1046 BLACK OAK DR # 1063
SAPPHIRE, NC
28774-7737

Practice Phone: 828-507-4605
Practice Fax:

1912364571 — MELISSA STEVENS L.P.C.
Practice Location Address:

918 LACEY RD STE D
FORKED RIVER, NJ
08731-1063

Practice Phone: 571-669-3400
Practice Fax:

1427734672 — M&K CARE CORP
Practice Location Address:

918 LACEY RD STE 3A
FORKED RIVER, NJ
08731-1063

Practice Phone: 732-627-1114
Practice Fax:

Directions to “ JAMES MICHAEL SUCHANEK EMT,PERSONALTRAINER” 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.