Individual
SUE AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8200
(269) 250-8339
Mailing address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8200
(269) 250-8339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704211122
MI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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