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Individual
MRS. SUSAN MARY JASKIEWICZ
Active
Individual
MRS. SUSAN MARY JASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704113159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418127
—
MI
Enumeration date
07/26/2005
Last updated
07/29/2019
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