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SUSAN MARGARET BACHELLER CPNP

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1477529600

Individual Registrant:
 SUSAN MARGARET BACHELLER CPNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1321 STONE ST  PORT HURON, MI 48060-3520 US
Tel: 810-984-1000  Fax: 810-984-3138

Contact information for business:
1321 STONE ST  PORT HURON, MI 48060-3520 US
Tel: 810-984-1000  Fax: 810-984-3138

Registration Information:
NPI: 1477529600
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
MI4704136802

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE4704136802MI01




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