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Individual

MRS. SUSAN HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5216
Mailing address
9898 N SHORE DR, PIGEON, MI 48755-9762
(989) 856-4773
(989) 269-5216

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704088608
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4070344
MI
Enumeration date
10/16/2006
Last updated
07/09/2007
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