Individual
MS. SUSAN MARIE JARCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 855-5174
(616) 228-1181
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 855-5174
(616) 228-1181
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704139983
MI
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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