person
Susan Marie Doepker, NP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1093364259

Susan Marie Doepker is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Susan Marie Doepker practices in Mishawaka, IN and has the professional credentials of NP. The NPI Number for Susan Marie Doepker is 1093364259 and holds a License No. 28099733A (Indiana).

The current practice location address for Susan Marie Doepker is 611 E Douglas Rd Ste 309, Mishawaka, IN and can be reached out via phone at 574-335-6232 and via fax at 574-335-0776. You can also correspond with Susan Marie Doepker through the mailing address at 707 CEDAR ST STE 200, SOUTH BEND, IN - 46617-2057 (mailing address contact number: 574-335-8717).

Location: 611 E Douglas Rd Ste 309, Mishawaka, IN, 46617-2057
person
Provider Profile Details
NPI Number
1093364259
Provider Name
Susan Marie Doepker
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
611 E Douglas Rd Ste 309, Mishawaka, IN, 46617-2057
Phone Number
574-335-6232
Fax Number
574-335-0776
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IN
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 309
City
State
Zip
46545-1467
Phone Number
574-335-6232
Fax Number
574-335-0776
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 309
City
State
Zip
46545-1467
Phone Number
574-335-6232
Fax Number
574-335-0776
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28099733A (Indiana)
Definition
Definition to come...
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