Organization
SUSAN L DRUST NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY ELLER (CREDENTAILING COORDINATOR)
(231) 727-5211
Entity
Organization
Contact information
Practice address
296 SEMINOLE RD, NORTON SHORES, MI 49444-3733
(231) 375-5251
(231) 375-8439
Mailing address
296 SEMINOLE RD, NORTON SHORES, MI 49444-3733
(231) 375-5251
(231) 375-8439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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