Individual
SUSAN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35597 BROOKE CT, NEW BALTIMORE, MI 48047-1137
(586) 725-3106
Mailing address
35597 BROOKE CT, NEW BALTIMORE, MI 48047-1137
(586) 725-3106
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704125071
MI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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