SUSAN MILLER SETIAWAN

GOSHEN, IN
NPI1740612514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28129907A)
Enumeration Date2013-08-05
Last Update Date2013-08-05
Business Address
-- SUSAN MILLER SETIAWAN NP-C
213 MIDDLEBURY ST
GOSHEN, IN 46528-2956
Phone number: 574-534-3300
Mailing Address
-- SUSAN MILLER SETIAWAN NP-C
12152 COUNTY ROAD 10
MIDDLEBURY, IN 46540-9694
Phone number: 574-825-8792
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