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Individual
MRS. SUSAN E MERRELL
Active
Individual
MRS. SUSAN E MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704140425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4539637
—
MI
Enumeration date
09/20/2006
Last updated
10/24/2019
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