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
Phone: (616) 386-4260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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