Individual
SUSAN JANE MACGILVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 NEELEY AVE, BALL STATE UNIVERSITY STUDENT HEALTH CENTER, MUNCIE, IN 47306-0001
(765) 285-1254
(765) 285-3512
Mailing address
2328 STARLIGHT DR, ANDERSON, IN 46012-1946
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000445A
IN
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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