Individual
SUSAN MARIE WASSENHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
812 W 4TH ST, MISHAWAKA, IN 46544-1738
(574) 255-1604
Mailing address
812 W 4TH STREET, MISHAWAKA, IN 46544
(574) 255-1604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1722
AK
363A00000X
Physician Assistant
2692-23,
WI
363A00000X
Physician Assistant
4398
AZ
363A00000X
Physician Assistant
Primary
5601001412
MI
Other
Enumeration date
06/30/2006
Last updated
02/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us