NPI 1023309226
Nicole Susser, DO
Practice location
- Address
- 2040 Raybrook St SE STE 200, Grand Rapids, MI 49546-7718
- Phone
- (616) 386-4260
Registered specialties (2)
Emergency Medicine Physician
Primary
Geriatric Medicine (Family Medicine) Physician
Registry record
- NPI
- 1023309226
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Apr 2011
- Record last updated
- 22 Jul 2026
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.