| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUSAN M DUPONT | 1124601745 | 2021-05-02 |
Susan M Dupont is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124601745. Registration indicates Susan M Dupont is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Ms. Susan M Dupont |
| Practice Office Address | 2037 E GRAND BLANC RD GRAND BLANC, MI US |
| Practice Office Telephone | 2319449158 |
| Mailing Address | 2037 E GRAND BLANC RD GRAND BLANC, MI 484392700 US |
| Business Telephone | 2319449158 |
| Email [Email] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |