Dr. Susan Hough Ivey, MD
Family Medicine, Adult Medicine in Grand Haven, MI. Individual provider (NPI-1).
NPI number1619085040
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619085040
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Hough Ivey
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 4301050691 | MI | Yes |
Practice location
15118 Willowwood CtGrand Haven, MI 49417-9151
Phone 231-725-4105
Mailing address
15118 Willowwood CtGrand Haven, MI 49417-9151
Phone 231-725-4105
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