Individual provider · Type 1 NPI
Susanne Anne Quallich, NP
Adult Health Nurse Practitioner · Ann Arbor, MI
NPI number
1407932452
Active
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704206367 (MI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704206367 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407932452
Susanne Anne Quallich, NP's National Provider Identifier is 1407932452, issued on Oct 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 6, 2020.