Organization
SUZANNE HANSES DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PJ LOVE (MANAGER)
(517) 336-5176
Entity
Organization
Contact information
Practice address
4911 W ST JOE HWY, SUITE 102, LANSING, MI 48917
(517) 336-5176
Mailing address
4911 W ST JOE HWY, SUITE 102, LANSING, MI 48917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205817749
—
MI
Enumeration date
10/22/2010
Last updated
10/22/2010
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