Individual
MS. SUSAN L RICKSGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6382
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4704164927
MI
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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