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Individual

SU NEYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
390 E CHICAGO ST, COLDWATER, MI 49036-2062
(517) 924-1465
Mailing address
306 GATCOMBE RUN, FORT WAYNE, IN 46845-0152
(260) 255-1848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28259848A
IN
363L00000X
Nurse Practitioner
Primary
4704410671
MI

Other

Enumeration date
09/14/2022
Last updated
01/31/2024
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