NPI 1003996984

Susan Lynn Persson, PAC

Practitioner Physician Assistant Ludington, MI

Practice location

Address: 7 Atkinson Dr STE 111, Ludington, MI 49431-1953
Phone: (231) 843-3487
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601003766 (MI)

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Registry record

NPI: 1003996984
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2006
Record last updated: 29 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.