Individual
SUSAN GROSSE-MACEMON
Active
Individual
SUSAN GROSSE-MACEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102292
MEDICA
MN
01
—
108562
UCARE
MN
05
—
153842000
—
MN
01
—
53M29GR
BCBS
MN
01
—
923911025971
PREFERRED ONE
MN
01
—
HP26519
HEALTH PARTNERS
MN
Enumeration date
04/04/2006
Last updated
05/23/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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