Individual
SUSAN JANE SOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
37304 KINGS HWY, BEAVER ISLAND, MI 49782-5134
(231) 448-2275
(231) 448-2348
Mailing address
37304 KINGS HWY, BEAVER ISLAND, MI 49782-5134
(231) 448-2275
(231) 448-2348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704208819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4816719
—
MI
Enumeration date
04/13/2006
Last updated
01/22/2013
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