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Susan R Wilson, NP
Family Nurse Practitioner in East Lansing, Michigan
NPI 1801119532

Susan R Wilson is a Family Nurse Practitioner based in East Lansing, MI and is specialized in Family. Susan R Wilson practices in East Lansing, MI and has the professional credentials of NP. The NPI Number for Susan R Wilson is 1801119532 and holds a License No. 4704149259 (Michigan).

The current practice location address for Susan R Wilson is 463 E Circle Dr, East Lansing, MI and can be reached out via phone at 517-884-6546 and via fax at 517-432-9460.

Location: 463 E Circle Dr, East Lansing, MI, 48824-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801119532
Provider Name
Susan R Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
463 E Circle Dr, East Lansing, MI, 48824-7015
Phone Number
517-884-6546
Fax Number
517-432-9460
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801119532 05 MI
institution
Provider Business Practice Location Address Details
Address
463 E Circle Dr
City
East Lansing
State
Michigan
Zip
48824-7500
Phone Number
517-884-6546
Fax Number
517-432-9460
person
Provider Business Mailing Address Details
Address
463 E Circle Dr
City
East Lansing
State
Michigan
Zip
48824-7500
Phone Number
517-884-6546
Fax Number
517-432-9460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704149259 (Michigan)
Definition
Definition to come...
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