Susser, Nicole

Susser, Nicole is an individual health care provider with primary practice located at 2040 Raybrook St Se Ste 200 , Grand Rapids MI 49546-7718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Susser, Nicole can be contacted via phone (616) 386-4260.

Contact Information

Primary practice address
2040 Raybrook St Se Ste 200 Grand Rapids MI 49546-7718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 5101013675 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101013675 Michigan

Profile Details

NPI number 1023309226
LBN Legal business name Susser, Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2011
Last updated Jul 22nd, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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