Individual
DR. SUSAN HOUGH IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15118 WILLOWWOOD CT, GRAND HAVEN, MI 49417-9151
(231) 725-4105
Mailing address
15118 WILLOWWOOD CT, GRAND HAVEN, MI 49417-9151
(231) 725-4105
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
4301050691
MI
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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