Individual
SUZANNE J MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
751 S 7TH ST, ONTONAGON, MI 49953
(906) 884-4120
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
(906) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4704201024
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704201024
MI
Other
Enumeration date
06/15/2018
Last updated
04/14/2021
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