Individual
SUSAN L ERTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-2000
Mailing address
550 W WESTERN AVE, SUITE B, MUSKEGON, MI 49440-1045
(231) 726-4498
(231) 726-4468
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704133853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4752380
—
MI
Enumeration date
07/27/2006
Last updated
04/11/2012
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