SUSAN KAY DERRICKSON

GOSHEN, IN
NPI1104691153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  71014637A)
Enumeration Date2023-11-20
Last Update Date2023-11-21
Business Address
SUSAN KAY DERRICKSON NP-BC
213 MIDDLEBURY ST
GOSHEN, IN 46528-2956
Phone number: 574-534-3300
Mailing Address
SUSAN KAY DERRICKSON NP-BC
2024 MAPLEHURST AVE
MISHAWAKA, IN 46545-7006
Phone number: 574-302-1640
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