Individual provider · Type 1 NPI
Susan Hough Ivey, MD
Adult Medicine Physician · Grand Haven, MI
NPI number
1619085040
Active
Practice location
15118 Willowwood Ct
Grand Haven, MI 49417-9151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 4301050691 (MI) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Grand Haven
About NPI 1619085040
Susan Hough Ivey, MD's National Provider Identifier is 1619085040, issued on Aug 27, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Grand Haven, MI. The record was last updated on Jul 8, 2007.