Individual
SUSAN KAY ERCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3427 FARR RD STE B, FRUITPORT, MI 49415-8854
(231) 865-7625
(231) 865-6212
Mailing address
3427 FARR RD STE B, FRUITPORT, MI 49415-8854
(616) 481-0132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19042140253
MI
Other
Enumeration date
09/10/2019
Last updated
10/18/2020
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