Organization
SUSAN L DRUST NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANNE NYBLADE (PRACTICE ADMINISTRATOR)
(231) 740-0914
Entity
Organization
Contact information
Practice address
296 SEMINOLE RD, NORTON SHORES, MI 49444-3733
(231) 740-0914
Mailing address
296 SEMINOLE RD, NORTON SHORES, MI 49444-3733
(231) 375-5251
(231) 375-8439
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704168366
MI
Other
Enumeration date
11/21/2016
Last updated
01/19/2017
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