Individual
SUSAN BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 E PAKES RD, CRYSTAL, MI 48818-8609
(989) 630-6651
Mailing address
5601 E PAKES RD, CRYSTAL, MI 48818-8609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704291958
MI
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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