Individual
SUSAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 MEADOWS DR, GRAYLING, MI 49738-2013
(989) 348-7800
Mailing address
6243 DEER FIELD EST, GRAYLING, MI 49738-6442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704150739
MI
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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