Individual
SUSAN L IMANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
601 JOHN ST, SUITE N1200, KALAMAZOO, MI 49007-5341
(269) 341-7979
(269) 341-6261
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704199822
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123579
—
MI
Enumeration date
01/20/2006
Last updated
07/10/2025
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