Individual
SUSAN F CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
156874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B86016
MEDICARE PTAN
MI
05
—
431469
—
MI
Enumeration date
01/09/2007
Last updated
11/23/2020
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