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1750090536
SUSAN ELIZABETH MANSKE
GRAND RAPIDS, MI
NPI
1750090536
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Former Name
SUSAN ELIZABETH DATEMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704303201)
Enumeration Date
2022-11-21
Last Update Date
2023-01-30
Business Address
Mrs. SUSAN ELIZABETH MANSKE FNP-C
2750 E BELTLINE AVE NE FL 1
GRAND RAPIDS, MI 49525-8614
Phone number: 616-391-6271
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Mailing Address
Mrs. SUSAN ELIZABETH MANSKE FNP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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