Individual
SUSAN ELIZABETH JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
805 W CEDAR ST, STANDISH, MI 48658-9526
(989) 846-4535
(989) 846-6580
Mailing address
PO BOX 940, 805 W CEDAR ST, STANDISH, MI 48658-0940
(989) 846-4535
(989) 846-6580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
47004149300
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4615739
—
MI
Enumeration date
07/24/2006
Last updated
07/08/2007
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