Individual
SUSAN SENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3281
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001627A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000861147
BCBS MEMORIAL HOSPITALIST GROUP
IN
Enumeration date
02/06/2014
Last updated
05/01/2023
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