SUSAN ELIZABETH MANSKE

GRAND RAPIDS, MI
NPI1750090536
Former NameSUSAN ELIZABETH DATEMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704303201)
Enumeration Date2022-11-21
Last Update Date2023-01-30
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
Mailing Address
MRS. SUSAN ELIZABETH MANSKE FNP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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