Organization
COUNTRYSIDE HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E DUNHAM FNP (OWNER)
(231) 743-6002
Entity
Organization
Contact information
Practice address
107 E MAIN ST STE A, MARION, MI 49665-9642
(231) 743-6002
(231) 743-6081
Mailing address
PO BOX 1024, CADILLAC, MI 49601-6024
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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