Individual
SUSAN MCCLOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 MITCHELL PARK DR STE 5, PETOSKEY, MI 49770-8897
(231) 348-5018
Mailing address
690 HOMESTEAD CT, PETOSKEY, MI 49770-9814
(231) 838-8076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704219813
MI
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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