Individual
MRS. SUSAN ANN DEMEULENAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
Mailing address
2601 ELECTRIC AVE, SUITE 400, PORT HURON, MI 48060-6587
(810) 985-1819
(810) 984-1160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704190745
MI
Other
Enumeration date
10/09/2005
Last updated
01/20/2016
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