SUSAN GRACE PASSAVANT

GRAND RAPIDS, MI
NPI1124406582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704280442)
Enumeration Date2015-05-18
Last Update Date2019-06-26
Business Address
SUSAN GRACE PASSAVANT NP
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503-2543
Phone number: 616-486-9600
Mailing Address
SUSAN GRACE PASSAVANT NP
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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